Report an Absence

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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 Name *

Your Email *

Your Phone Number

Relationship to Child

Choose Program *

Toddler

Preschool

Kinder

Absence Reason: Choose all that apply *

Non-health (Indicate reason below as Additional Information.)

Asthma

Fever (can return if resolved in 24 hours without fever reducing meds)

New or Worsening Cough

Shortness of breath or trouble breathing

Runny Nose

Sore Throat

Headache

Gastrointestinal (Nausea, vomiting, diarrhea)

Other:

Required

Date of Absence *

YYYY

Date of Return

If symptoms last longer than the above noted time for return please notify us via email. Please follow the return to learn guidance before returning.

YYYY

Additional Information

Submit

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