If your child will be absent, please complete this form AND notify the main office- 781-860-5800.
Hastings Absent Form
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Student First Name
Student Last Name
Is your child TARDY or ABSENT?
Today/this week, is your child:
Has your child developed ANY 1 of the following symptoms? If you check off any 1 of the symptoms in this question, you will need to contact your child's pediatrician prior to returning to school.
Fever (100 degrees Fahrenheit or higher)
New Cough (not due to other known cause, such as a chronic condition)
Difficulty breathing/shortness of breath
New loss of taste or smell
Has your child developed ANY 2 of the following symptoms? If you check off any 2 of the symptoms in this question, you will need to contact your child's pediatrician prior to returning to school.
Nasal congestion/runny nose
Muscle aches or body aches
Nausea (feeling sick to stomach)
If you checked off any of the symptoms listed in the above questions, have you contacted your child's pediatrician?
Is your child being tested for COVID-19? ***Reminder: we only accept PCR/Molecular tests. We do not accept test results from antigen tests.
Is your child going to be absent for one of the following reasons?
My child is in quarantine as a close contact
My child has traveled out of state during the last 14 days and is now in quarantine
Is your child going to be absent for a different reason? Please explain.
Please provide your name & phone number should we need to follow up with you.
Please remember to notify the front office of your child's absence- 781-860-5800. If you have any questions, please contact Jacqui Falco at
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Lexington Public Schools.