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.
Parent Completing Form
Student's Homeroom Teacher
6th Middle School
7th Middle School
8th Middle School
Reason for Absence
Appt (unrelated to illness)
Fever (note that your child may not return until he or she is fever free with no fever-reducing meds for 48 hours)
Feeling ill - determining symptoms
COVID symptoms in child or direct family/household - awaiting testing results (no one in family may return without principal permission)
Quarantine due to COVID (school must be aware - no one in family may return without principal permission))
Travel (waiver must be approved by principal)
If marked above "feeling ill" - please choose symptoms. Two or more symptoms? Check with your doctor AND email Mrs. Goldsworthy before returning to school.
Does not apply
Fever (100.4 +)
Chills or Sweating
Aches/Myalgia or Fatigue
Shortness of breath/Difficulty Breathing
Nasal/Sinus Congestion or Runny Nose
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 -
Determining illness - symptoms and what to do (
COVID Testing and Quarantine (
If potentially exposed to COVID... (
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