Student Absence Form
Please complete this form to record an absence for your child. ONE STUDENT'S ABSENCE PER DAY, PER FORM. Always follow protocols for student illness as listed in Family Handbook or COVID-19 Back to the Building Response plan.
Today's Date *
MM
/
DD
/
YYYY
Student Name *
Parent Completing Form *
Student's Homeroom Teacher *
Reason for Absence *
If marked above "feeling ill" - please choose symptoms. Two or more symptoms? Check with your doctor AND email Mrs. Goldsworthy before returning to school. illness-report@steugeneschool.org *
Required
If your child or a direct family member is experiencing COVID-like symptoms, please explain your next steps for testing, contact tracing. We will follow up with you ASAP. No one in the family should return to school without consulting Mrs. Goldsworthy via email - illness-report@steugeneschool.org.
Determining illness - symptoms and what to do (http://bit.ly/csse-covid19-what-happens-if)
COVID Testing and Quarantine (http://bit.ly/csse-covid19-guidelines)
If potentially exposed to COVID... (http://bit.ly/csse-covid19-if-exposed)
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