HS - Student Absence Report Form
Parent/Guardian must complete this absence report form within three school days of the date of absence. This form should be completed for High School students ONLY. Thank you
Student's First Name
Student's Last Name
Date of Absence
Reason for Absence
Death in the family
Quarantine due to an out-of-state travel
Quarantine due to close contact with a positive or presumed-positive COVID case
If the Absence is for Illness, please check all symptoms your child is experiencing:
Shortness of breath
New loss of smell or taste
Fever (100.4 or greater; measured or feels like has a fever)
Rigors (sudden elevated temperature with shivering)
Myalgia (muscle pain)
Nausea or vomiting
Congestion or runny nose
A copy of your responses will be emailed to the address you provided.
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This form was created inside of York Suburban School District.