Report an Absence Parent's Name* First Last Parent's Phone*Student's Name* First Last Student's Grade*Pre-SchoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeHomeroom TeacherAdditional Siblings AbsentDate Absent From* Date Format: MM slash DD slash YYYY Date Absent To* Date Format: MM slash DD slash YYYY Reason for Absence*IllnessMedical/Dental AppointmentFamily EmergencyVacation/Out of TownIf your child is ill, please mark all symptoms that apply: Fever Cough Shortness of Breath Loss of smell or taste Sore Throat Runny Nose Body Aches Headache Fatigue Nausea or Vomiting Diarrhea Other Other (please describe)Is this absence due to COVID-19?* Yes No Share this:FacebookLike this:Like Loading...
