Absence Reporting Form

* Indicates required field

Student Name *

First

Last

Student Grade *

Advising Teacher Name *

Parent Name *

First

Last

Email *

Phone Number *

Date or Dates of Absence *

Reason for absence *

List of symptoms if any. *

If applicable, date of when symptoms first started? *

If applicable , date when student was last in close contact with someone suspected/confirmed of having COVID. *

What class teachers would you like us to notify of your absence? *

Any other comments or questions? *

REMINDER - High School students and Junior High Math students can attend online version of class. If student is unable to attend online they must contact their classroom teacher.

I understand that a reply will be sent to notify me when the student is cleared to return to school (onsite classes). *

Yes

Submit

Absence Reporting Form

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