Absence Report
Sign in to Google to save your progress. Learn more
Email *
Student Name and Advisory *
Date of Absence *
Full Day or Partial Day?  
Clear selection
If partial day, specify times below:
Other:
Reason for Absence: *
Required
SYMPTOMS of ILLNESS (please select all that apply)
Fever - please fill in temperature below:
Other Illness Details:
Has your child or anyone in your home been tested for COVID and waiting for results?
Clear selection
If you would like to speak to our school nurse, Gail Setterstrom, she can be reached at gsetterstrom@arcadiacharterschool.org.  
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Northfield School of Arts and Technology. Report Abuse