Mohawk Country Day School Absence Form
Please fill out the following form for your child before 8am on the day of absence. If your child is going to be out for more than 1 day, please list the days they will be out or fill out a new form on each day they are out. 
Sign in to Google to save your progress. Learn more
Date Absent?  *
MM
/
DD
/
YYYY
Child's Name: *
Reason for absence: *
Please list your child's symptoms...
Please provide any other information that may be helpful (length of absence, covid test result...etc.) 
Has your child had a fever in the last 24 hours?
(Do not send your child to school if they have had a fever in the last 24 hours... must be 24 hours fever free to return to school).
Clear selection
Teacher: *
Person filling out the form: *
Mode of Transportation? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mohawk Day Camp and Country Day School.

Does this form look suspicious? Report

Google Forms