Child Absence Form / Formulario de Ausencia

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for Conte West Hills

Thank you for letting us know that your child will be absent today. If
your child is sick, please be specific regarding the nature of their
illness. Thank you
Gracias por informarnos que su hijo(a) estará ausente hoy. Si su hijo(a) esta enfermo, por favor sea específico de los síntomas.
Gracias

Your Child's Student ID (Lunch #). Each child is assigned a unique PowerSchool ID #. / Numero de identificacion del estudiante.

Your Child's Full Name / Nombre Completo del Estudiante *

Is your child a / Su hijo(a) es *

Hybrid Learner / Alumno híbrido

Remote Learner / Alumno en línea

Your Child's Grade / Grado del Estudiante *

Your child's teacher / Maestro(a) del Estudiante *

Absent from Date / Día de la Ausencia *

YYYY

Absent to Date / Ausente Hasta la Fecha *

YYYY

Reason for Absence / Motivo de la Ausencia *

Illness / Enfermedad

Medical Appointment / Cita Medica

Other:

Symptoms of your child's illness / Síntomas de la enfermedad de su hijo *

Chills / Escalofríos

Chronic new cough / Tos crónica nueva

Difficulty breathing / Dificultad para respirar

Flu like symptoms / Síntomas similares a la gripe

High temperature over 100 degrees / Temperatura mayor de 100 grados

Loss of taste or smell / Pérdida del gusto u olfato

Shortness of breath / Falta de aire o dificultad para respirar

Sore throat / Dolor de garganta

Vomitting / Vomitando

Other:

Required

Parent /Guardian phone / Teléfono de los padres *

Parent/Guardian email / Correo electrónico de los padres *

Parent Name (This will act as your signature) / Nombre del Padre *

Person Reporting

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