Absence Note
Please complete this form for each day your child will be absent.
Email *
Student's Name *
Grade *
Date of absence *
MM
/
DD
/
YYYY
Reason for Absence: *
"Other" reason for absence *
Is your child experiencing any of the following symptoms: (check all that apply) *
Required
Is anyone in your household exhibiting symptoms listed above? *
Is anyone in your immediate household awaiting COVID-19 test results? *
Has anyone in your household been exposed to a person testing positive for COVID-19? *
Note for the nurse: *
Please contact the school nurse for further instructions regarding when your student may return to school. nurse@woodlandschool.org
Submit
Never submit passwords through Google Forms.
This form was created inside of Woodland Presbyterian School. Report Abuse