Bowman Tardy/Absent Form
PLEASE COMPLETE THIS FORM BY 10:00 AM if your child will be absent. If your child is not feeling well, DO NOT send them to school.
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Student First Name
Student Last Name
Matt Studley/Kathy Abou-Rjaily
Is your child TARDY or ABSENT?
Date Of Tardiness/Absence
When did your child's symptom(s) begin?
Has your child developed ANY 1 of the following symptoms?
Fever (100 degrees Fahrenheit or higher) or chills
New Cough (not due to other known cause, such as a chronic condition)
Shortness of breath or trouble breathing
New loss of taste or smell
Has your child developed ANY 2 or more of the following symptoms?
Muscle aches or body aches
Nasal congestion/runny nose
If you checked off any of the symptoms listed in the above questions, have you informed your child's pediatrician?
If you checked off any of the symptoms listed in the above questions, is your child scheduled for COVID-19 testing (PCR/Molecular)?
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 tested positive for COVID-19
Is your child going to be absent for a different reason? Please explain
Parent/Guardian Name and Phone Number (PLEASE NOTE: If you checked off ANY 1 SYMPTOM in the first symptom question, or ANY 2 SYMPTOMS in the second symptom question, you must contact your child's pediatrician prior to their return to school.)
If you have any questions, please contact Jean Claffey, Bowman School Nurse, 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.