Report an Absent Student
Please fill out this form as soon as you know your child will be absent from school.
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Name of Parent Completing Form
Parent Contact Phone Number
Student First Name
Student Last Name
Student Class (or Middle School Grade)
Full Day Absence
Mid-Day Appointment (leave and return)
Date of Absence
Additional dates expected to be absent
Reason for Absence/Lateness/Leaving Early
Student has tested positive for Covid-19 test.
Student is in mandated quarantine due to a positive Covid-19 exposure.
Student does not feel well or was sent home sick from school (Covid symptoms)
Concern of Covid exposure at school.
Vaccination/Not feeling well after vaccination
Student does not feel well or was sent home from school (no COVID-19 related symptoms)
Appointment/Meeting/Evaluation during school hours
Family Vacation/ Trip
High school interview or visit
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This form was created inside of The Moriah School.