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Absence/Late Arrival Reporting Form
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* Indicates required question
Email
*
Your email
Please specify the event
*
Absence
Late Arrival
If a Late Arrival Specify Approx. Time
Your answer
Month, day, year
*
MM
/
DD
/
YYYY
Student's name
*
Your answer
School student attends
*
GHS
HES
Teacher
*
Your answer
Reason for absence (check all that apply)
*
Fever (100.0 or higher)/chills
Vomiting
Nausea
Disruptive cough
Diarrhea
Asthma exacerbation or difficulty breathing
Sore throat
Muscle aches
Rash
Fatigue due to illness
Congestion/runny nose
Headache
Injury (please describe below)
Surgery (please describe below)
Transportation issues
Medical appointment
Dentist appointment
Vacation
Mental health day (allowed 2 per school year, cannot be consecutive)
Other:
Required
Did student test positive for the following?
Covid
Flu
RSV
Hand foot mouth
Other:
Clear selection
Any additional pertinent information
Your answer
If needed, best phone number to reach you
Your answer
Submit
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