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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Email *
Student First Name *
Student Last Name *
Grade *
Teacher *
Is your child TARDY or ABSENT? *
Date Of Tardiness/Absence *
MM
/
DD
/
YYYY
When did your child's symptom(s) begin? *
Has your child developed ANY 1 of the following symptoms? *
Required
Has your child developed ANY 2 or more of the following symptoms? *
Required
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? *
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 jclaffey@lexingtonma.org
A copy of your responses will be emailed to the address you provided.
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