Faculty and Student Absentee Form
Please fill out one form per absentee by 8:15 a.m.

***Faculty, please note, this form is in addition to the faculty absent form needed for coverage.

Thank you,
Nurse Navi and Nurse Rachel
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Email *
Parent/Faculty Cell Phone number *
First Name of Absentee *
Last Name of Absentee *
Grade *
Section *
Bus/Carpool *
Reasons for absence. Please check all of the symptoms that apply below. *
Please list any siblings, include their grade/class and the school they attend. *
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