Montessori School Absence Form
Please complete this form anytime your child will be absent. You may include a multiple dates if you know your child will be out for more than one day for the same illness/reason.
* Required
Child's Name
*
Your answer
Parent's Email Address
*
Your answer
What class does your child attend?
*
Primary Full Day
Primary AM
Primary PM
Toddler
Date(s) Absent
*
Please enter additional dates absent (if known) in the comment section below.
MM
/
DD
/
YYYY
Reason for Absence
*
Illness (please see next question for type of illness)
Doctor/Dentist Appt
Family Reason
Vacation/Out of town
Weather
Other:
Type of Illness
Cold/flu like symptoms with no fever
Cold/flu like symptoms with fever
Ear infection
Strep Throat (confirmed)
Stomach Illness
COVID-19 (tested and confirmed)
Other:
Clear selection
Does your child have a fever greater than 100?
*
Yes
No
Will your child be seeing a doctor for above illness?
Yes
No
Clear selection
Comments (please include any additional dates for above absence.)
Your answer
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