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Absence Reporting 2024

To report can absence, please complete this form and submit.

Parent / Guardian's Name*

Answer required for "Parent / Guardian's Name"

Student's First Name*

Answer required for "Student's First Name"

Student's Last Name*

Answer required for "Student's Last Name"

Student Grade*

Answer required for "Student Grade"

Homeroom Teacher*

Answer required for "Homeroom Teacher"

Absence Date*

Answer required for "Absence Date"

Reason for Absence (ill, vacation, etc.). *

Answer required for "Reason for Absence (ill, vacation, etc.). "

Symptoms, if ill*

Answer required for "Symptoms, if ill"

Fever?*

Answer required for "Fever?"

Yes

If absence is longer than 1 day, please indicate expected date of return*

Answer required for "If absence is longer than 1 day, please indicate expected date of return"

If you have more than one student in your household who will be absent, please complete the information for each child. When finished, scroll to the bottom to SUBMIT.

Student 2 First & Last Name

Answer required for "Student 2 First & Last Name"

Student 2 Grade

Answer required for "Student 2 Grade"

Student 2 Homeroom Teacher

Answer required for "Student 2 Homeroom Teacher"

Absence Date

Answer required for "Absence Date"

Reason for Absence (ill, vacation, etc.)

Answer required for "Reason for Absence (ill, vacation, etc.)"

Symptoms, if ill

Answer required for "Symptoms, if ill"

Fever?

Answer required for "Fever?"

Yes

If absence is longer than 1 day, please indicate expected date of return

Answer required for "If absence is longer than 1 day, please indicate expected date of return"

Student #3 First & Last Name

Answer required for "Student #3 First & Last Name"

Student #3 Grade

Answer required for "Student #3 Grade"

Student #3 Homeroom Teacher

Answer required for "Student #3 Homeroom Teacher"

Absence Date

Answer required for "Absence Date"

Reason for Absence (ill, vacation, etc.)

Answer required for "Reason for Absence (ill, vacation, etc.)"

Symptoms, if ill

Answer required for "Symptoms, if ill"

Fever?

Answer required for "Fever?"

Yes

If absence is longer than 1 day, please indicate expected date of return

Answer required for "If absence is longer than 1 day, please indicate expected date of return"