Absence Form - SMKCS '20-'21
Please complete this form each day that your child is absent before 8:30 am.
If you are unsure about your child returning to school, please consult with your pediatrician. Following an illness or consultation of symptoms, a doctor's note is recommended, but not required.
Child's Name *
Date of Absence *
MM
/
DD
/
YYYY
Child's Homeroom Teacher *
Symptoms that my child is experiencing: *
Has anyone else in your household experienced any of the above symptoms? Please explain. *
Has your child or anyone in your home tested positive for COVID-19? *
Length of absence *
Additional information regarding your child's symptoms or absence:
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