Little Elementary Absence Form
Parents/Guardians, please fill out this form to notify us of your child's absence.
Name of Student *
Name of Person Reporting Absence *
Date of Absence *
MM
/
DD
/
YYYY
Reason for Absence. If the reason for the student's absence is related to COVID-19 symptoms such as fever, cough, shortness of breath, new or recent loss of smell or taste, sore throat, nausea or diarrhea, please specify these symptoms so a Registered Nurse may contact you for follow-up. *
Your phone number *
Submit
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