Absence Report PK-6 Grades 2022-2023
Please make sure that you fill out this form prior to 8:30 AM any time your student is going to be absent for any reason. These are only seen by the nurse and office staff and they are confidential so please be open and honest about any symptoms your student has and/or their quarantine status if there is one.
Sign in to Google to save your progress. Learn more
Email *
Student First and Last Name *
Student Grade Level *
Reason for Absence *
Is your student exhibiting ANY of the following known Covid-19 symptoms? *
Required
Other Symptoms of Illness
First Date Student Will Be Absent *
MM
/
DD
/
YYYY
Expected Date of Return *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lutheran School Association. Report Abuse