Editing previous response:

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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 for "Student's Name"

Parent / Guardian's Name*

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Student Grade*

Answer required for "Student Grade"

Date(s) of Absence*

Answer required for "Date(s) of Absence"

Homeroom Teacher

Answer required for "Homeroom Teacher"

Please select all symptoms that your child is experiencing.

Answer required for "Please select all symptoms that your child is experiencing."

Fever

Vomiting

Diarrhea

Sore Throat

Headache

My child is not experiencing any of these symptoms.

Other:

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

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