Newton Attendance
INSTRUCTIONS: Please complete a form for EACH student in your household who is absent. Please complete a form for each separate student illness.
Student Name *
Student ID (if known)
Today's Date
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Which school does your student attend? *
What grade? *
Date of Birth *
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What are your student’s symptoms that caused his/her absence today? Check ALL that apply . *
Required
If you selected other illness/injury, please describe here:
If your student is out ill, please share when the symptoms first began?
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If your student is out ill, have you isolated them?
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