Hebron Public School: Gilead Hill School Reason for School Absence
Date Of Absence. *
Name Of Absent individual *
Grade and Class *
Please put a check by any of the following symptoms that the absent individual is experiencing
Please check off any of the following symptoms that the absent individual is experiencing
Has the absent individual been in close contact (within 6ft for a total of 15 mins or more over a 24 hour period) with a confirmed COVID-19 case? *
Is the absence due to the individual having to quarantine due to travel restrictions ? *
If the absence is not for any of the other reasons, please state the reason for 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.
Email Address:
Cell phone :
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