Report an Absence
If your student will be absent from school, please complete this form to notify the school.
Student’s First and Last Name
Your Phone Number
Relationship to Child
Absence Reason: Choose all that apply
Non-health (Indicate reason below as Additional Information.)
Fever (can return if resolved in 24 hours without fever reducing meds)
New or Worsening Cough (can return if resolved in 24 hours)
Shortness of breath or trouble breathing (can return if resolved in 24 hours)
Runny Nose ( can return if resolved in 48 hours)
Sore Throat (can return if resolved in 48 hours)
Headache (can return if resolved in 48 hours)
Gastrointestinal (Nausea, vomiting, diarrhea) (can return if resolved in 48 hours)
New Loss of Taste or Smell (automatic 10 day quarantine)
Exposure to someone with COVID 19 (within the last two weeks) (must quarantine for 14 days)
Date of Absence
Date of Return
If symptoms last longer than the above noted time for return please notify us via email.
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This form was created inside of The Patchwork School.