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Almond Elementary Absence Form
Thank you for using Almond Absence Reporting form. Only a parent or legal guardian of the student listed on the student's emergency contacts in Power School can fill out this form and clear an absence.
If you have any questions or comments on this process, please let Ms. Martinez know at abigailmartinez@lasdschools.org
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* Indicates required question
Your Name and Relationship to Student:
*
Your answer
Student's Last Name:
*
Your answer
Student's First Name:
*
Your answer
Teacher:
*
Choose
Combo Class- Cartujano
Combo Class - Shen
TK- Schubert
TK- May
Kindergarten- Penner
Kindergarten- Chen
1st- De Alba (Hanson)
1st- Taylor
2nd- Reilly
2nd- Saldana
3rd- Hall
3rd- Herbert
4th- Pellicani
4th- Nguyen
5th- Burke
5th- Martin
6th- Arroco
6th-Herrick
Date of Absence, Tardy or Early Dismissal :
*
Your answer
Type of Absence or Tardy (Please notify the teacher) :
*
Absence
Tardy ( Please check in the office)
Early Dismissal
Required
Time of arrival (if tardy) or time of early dismissal (if not absent all day)
Time
:
AM
PM
Reason:
*
Fever (99.6 degrees F or greater)
Chills, muscle or body aches
Fatigue
Shortness of breath/difficulty breathing
Loss of taste or smell
Cough/sore throat
Unexplained headache (i.e. not a migraine)
Nausea, Vomiting and/or Diarrhea
COVID-19 positive test
Other contagious illness requiring follow-up
Stomach ache (without nausea, vomiting or diarrhea)
Runny nose/congestion only (no other symptoms)
Appointment
Vacation/Trip
Other (see below)
If you selected "Other" above, please indicate reason for the absence:
Your answer
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