Winslow High School - Absence Due to Illness

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please use this form to report your child's absence from school due to ILLNESS ONLY.

All other reasons for school absence (pre-scheduled medical appointments, family emergency, etc) will require a written note be sent to school on student's return.

WHS Student Handbook. See page 8 for Attendance policies

***If you looking to report a preapproved absence (i.e. family trip) please submit an Extended Leave Form.

Email *

Date of Absence *

YYYY

Student's Name (if reporting more than one, please use a different form for each student): *

Name and phone number of Parent/Guardian who is filling out this form: *

Please check off the illness symptoms that your child is experiencing today: *

Cough

Difficulty breathing

Fever (100.4 or greater)

Sore throat

New loss of taste or smell

Muscle pain

Nausea/vomiting

Diarrhea

Fatigue

Headache

Congestion/runny nose

Mental health issue

Tested Positive for COVID19

Tested Positive for Influenza

Required

Additional information about your child's illness or symptoms today.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of AOS 92.

Does this form look suspicious? Report

Forms