SCA Absence Reporting Form
Please report all absences here for accurate recording and tracking.
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Prearranged absences should be submitted to the child's principal using the following form:  
Date of Absence: *
MM
/
DD
/
YYYY
Student First Name *
Student Last Name *
Grade *
Reason *
If other is selected please give additional info here:
If this absence is because of an illness, please check off symptoms your child is experiencing:  (please check all that apply.)
To your knowledge, is this absence COVID 19 related?  (exposure, quarantining, possible COVID) *
How is this absence COVID related?
Clear selection
Expected date of return
MM
/
DD
/
YYYY
Reported By *
Email address for reporting party: (Please insert carefully as a follow up email may be sent) *
Additional Information?
Submit
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