Absence Reporting - Loyola School

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Please fill out the following information to report your student's absence.

Name of Student *

Teacher *

Your Name and Relationship to Student: *

Date of Absence: *

YYYY

If absent for multiple days please indicate date range below.

Reason(s) for the Absence (check all that apply): *

Fever (99.6 degrees F or greater)

Chills, muscle or body aches

Runny nose/congestion only (no other symptoms)

Cough/sore throat

Unexplained headache (i.e. not a migraine)

Nausea, Vomiting and/or Diarrhea

Stomach ache (without nausea, vomiting or diarrhea)

Shortness of breath/difficulty breathing

COVID-19 positive test

Other contagious illness requiring follow-up

Appointment (all day)

Appointment (arrive late/leave early )

Vacation/Trip

Other (see below)

Required

If you selected "Other" above, please indicate reason for the absence:

Submit

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