Absentee Reporting for Noble Leadership Academy

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please report your child's absence on this form. If your child is missing school for a doctor's visit, please make sure to submit a copy of the excuse form from the doctor's office either to the main office or emailed to nurse@noblela.org.

Date

YYYY

Name of Student

Grade of Student

Prek

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Sixth Grade

Seventh Grade

Eighth Grade

Ninth Grade

Tenth Grade

Eleventh Grade

Twelfth Grade

Clear selection

Is your child sick?

Yes

Clear selection

Is your child missing school for a doctor's visit?

Yes

Clear selection

Is your child missing school for a non-medical reason?

Yes

Clear selection

If your child is sick, please check off the symptoms he/she is experiencing?

Fever of 100.3F or higher

Vomitting

Gastrointestinal Issues (Stomach ache or Diarrhea)

Respiratory Issues

Sore Throat

Shortness of Breath or Difficulty Breathing

Muscle Pain or Body Aches

Headache

Other:

If your child is sick, have they been diagnosed with any of the following:

Strep Throat

Head Lice

Rash

Conjunctivitus (Pinkeye)

Other:

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Noble Leadership Academy.

Does this form look suspicious? Report

Forms