Hebron Public Schools: Hebron Elementary School Reason for School Absence
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Date of Absence *
Name of Absent Individual *
Grade and Class *
Please put a check next to any of the symptoms the absent individual is experiencing *
Required
Please put a check next to any of the symptoms the absent individual is experiencing *
Required
Has the absent individual been in close contact (within 6 feet for a total of 15 minutes or more over a 24 hour period) with a confirmed COVID-19 case? *
Is this absence due to the individual having to quarantine due to travel restrictions? *
If the absence is not for any of the provided reasons, please state the reason for the absence. *
Once this has been submitted to the nurse, the nurse will contact you in regards to when the individual can return to school. Please include your email and cell phone number for communication purposes.
E mail Address *
Cell phone number *
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