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Clarke Middle School Attendance Form
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Email
*
Your email
Student First Name
*
Your answer
Student Last Name
*
Your answer
TEAM
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Choose
Atlantis 6
Quest 6
Voyager 6
Columbia 6
Adventurer 7
Endeavor 7
Explorer 7
Enterprise 7
Apollo 8
Artemis 8
Discovery 8
Curiosity 8
Student will be:
*
Absent for the entire school day
Entering later in the day (tardy)
Dismissed during the school day
Required
Date(s) of absence:
*
Your answer
If student will be tardy or dismissed, at what time will they be entering/exiting?
Your answer
Is your student going to be absent due to any of the following reasons?
*
My student is feeling ill - please check symptoms below
Other:
Is your student going to be absent, tardy or dismissed for a different reason? Please explain (for example, has an dentist appointment, etc)
Your answer
Does your child have any of the following symptoms?
*
Fever (100 degrees Fahrenheit or higher)
Cough (not due to other known cause, such as a chronic condition)
Sore throat
Headache
Vomiting
Diarrhea
Other
Not Applicable
Required
If you checked off the above symptoms/scenarios, is your child being tested for COVID-19, Flu, Strep, RSV or other illnesses? Report positive test here or contact the school nurses cla-nurse@lexingtonma.org
Your answer
Please provide your name and phone number should we need to follow-up with you
*
Your answer
A copy of your responses will be emailed to the address you provided.
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