School Absence Reporting Form

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

School Absence Reporting Form

Please use this form to report any student absence NOT related to COVID-19

Sign in to Google to save your progress. Learn more

* Indicates required question

Student First Name *

Your answer

Student Last Name *

Your answer

Grade Level *

5th Grade

6th Grade

7th Grade

8th Grade

Parent Full Name *

Your answer

Parent Email *

Your answer

Parent Phone Number *

Your answer

My student *

1. Is home ill today

2. Has a medical appointment

3. Family travel and/or COVID testing for Travel

4. Other

Next

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy