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Student Absence Form SY '23-'24
RCP is required by the state to keep an illness log, as well as a record of attendance. Please fill out this form when your student is absent for any reason.
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Student First Name
Your answer
Student Last Name
Your answer
Child's Age
2.5
3
4
5
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Date of Absence
MM
/
DD
/
YYYY
Reason for Absence
Illness
Travel
Appointment
Other:
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If your student is absent due to illness, please let us know what kind of symptoms they are experiencing, as well as the date of symptom onset.
Your answer
If your student is absent due to illness, please describe the action taken.
Rest at home only
Doctor's visit
Doctor's visit with prescription(s)
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When do you anticipate your student returning to class?
Your answer
Reporting Parent's First Name
Your answer
Reporting Parent's Last Name
Your answer
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