Student Call In Sick Form
Please complete this form when your child will miss school due to illness. Please fill out the form twice if you are calling in for more than one student.
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What school does your child attend? *
Student LAST name *
Student FIRST name *
Student date of birth
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Is your child fully vaccinated? (Fully vaccinated means 2 doses -- if the student is 18 and the 2 doses were over 5 months ago then a booster is also needed) *
Did your student test positive for COVID in the last 90 days? *
What date did your student test positive?
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What was the last day your student was in school?
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Are you waiting on a COVID test or do you plan to have your student take a COVID test soon?
Clear selection
Was your student a close contact of someone who tested positive within the last 10 days?  (A close contact is being within 6 feet for 15 minutes or more to someone who tested positive -- 3 feet if student to student) *
If yes, please list the date of the close contact
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Does the close contact live with you?
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What is the reason you are calling in for your student? Please check all that apply. *
Required
Date the symptoms started *
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Is there a chronic condition or reason for the symptoms?  Please give short explanation
Parent name *
Parent email *
Parent phone number *
Does your student have siblings in the district? (We only use this if we need to contact trace) *
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