Carmel Del Mar - Report an Absence or Tardy

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Email *

Student Name: *

Parent Name: *

Phone Number: *

Date(s) of Absence *

YYYY

Reason for absence: *

Illness (If you check this box, please see question below)

Absence/Other (If you check this box, please see question below)

Tardy (If you check this box please see question below)

Required

Other Reason:

Please check any symptoms that your child is exhibiting: *

Fever over 100.4°

Cough

Shortness of breath

Runny nose/congestion

Headache

Muscle or body aches

Nausea, vomiting, or diarrhea

Arriving late to school (reason)

Other, please describe reason below

Required

Other Reason:

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

This form was created inside of Del Mar Union School District.

Does this form look suspicious? Report