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Primary School Attendance Form
Please use this form for reporting the absence of your
Primary School student
. If you need to talk with someone, please indicate this in the last question below for a call back. You can also call the Primary School office directly at (608)592-3855.
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* Indicates required question
Email
*
Your email
1. First and Last Name of
Primary School Student
who will be absent.
*
Your answer
2. Grade of Student
Grade 4K
Grade K
Grade 1
Grade 2
Clear selection
3. Date(s) that your student will be absent.
*
Your answer
4. Please
specify
if your student is arriving to school late or leaving early and please let us know what
time
.
Your answer
5. What is the reason for the absence?
*
Your answer
6. If your child is ill, what are the symptoms?
Click link to view "When to keep your child home from school" document.
Your answer
7. If your child is ill, do you have any confirmed diagnosis from a doctor? Please list diagnosis (Strep Throat, Influenza A, RSV, COVID, ear infection, etc.)
Your answer
8. Anything else you want us to know?
Your answer
9.
Name
of the person filling in this form,
relationship
to the student and
phone number
we can call if we have any questions.
*
Your answer
10. Do you want someone from the office to give you a phone call to follow up? (Please be sure to include a contact number in question #9)
*
Yes
No
A copy of your responses will be emailed to the address you provided.
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