Absence Reporting - Blach School

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Please fill out the following information to report your student's absence for Blach Intermediate School before 9:00AM on the day of absence.

Alternatively, you may report absence by calling (650) 934-3838.

Student's First and Last Name:

Your Name and Relationship to Student:

Date(s) of Absence:

Timeframe of Absence:

Reason(s) for the Absence (check all that apply):

Fever (99.6 degrees For greater)

Chills, muscle or body aches

Medical Appointment

Vacation/Trip

Cough/sore throat

Runny nose/congestion only (no other symptoms)

Stomach ache (without nausea, vomiting or diarrhea)

Nausea, Vomiting and/or Diarrhea

Fatigue

Unexplained headache (i.e. not a migraine)

COVID-19 positive test

Loss of taste or smell

Shortness of Breath/Difficulty Breathing

Other contagious illness requiring follow-up

Other:

Required

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