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Absence Reporting

Thank you for taking the time to complete this form to report your child's absence.

Student's Name*

Answer Required

Parent / Guardian's Name*

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Student Grade*

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Date(s) of Absence*

Answer Required

Homeroom Teacher

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Please select all symptoms that your child is experiencing.*

Answer Required

Fever

Vomiting

Diarrhea

Sore Throat

Headache

My child is not experiencing any of these symptoms.

Please include any additional information regarding your child's absence.

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Dr. notes or other uploads

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Choose a file or drag it here.

Confirmation Email

Email Required