Report an Absence

Please complete the information below to report your child's absence.

Student Name Student Name * First Last
Beginning Date Beginning Date * / MM / DD YYYY
Ending Date Ending Date / MM / DD YYYY
Teacher's Name *
Reason for Absence *

Reason for Absence Appointment Family Emergency Vacation Sick - Please fill out symptoms below Exposed to COVID (optional 10 day isolation) Other Other
Students experiencing COVID-19 like illness must be excluded from school. According to current guidelines from the CDC, common COVID-19 symptoms among children may include:
• Fever (greater than 100.4) or chills.
• Fatigue
• Headache
• Sore Throat
• New loss of taste or smell
• New uncontrolled cough (a change from your regular cough)
• Muscle or body aches
• Shortness of breath or difficulty breathing
• Congestion or runny nose
• Nausea or vomiting
• Diarrhea
• Night Sweats

According to CDC guidance Your child will need to stay home for:
• At least 10 days have passed since symptoms first appeared AND
• At least 24 hours have passed since last fever without the use of fever reducing medications
AND
• Symptoms have improved

Students may return in fewer than 10 days with school nurse (RN) verification of one of the following:
• Medical documentation of alternate diagnosis as reason for symptoms OR
• Documentation of negative COVID test

Students experiencing COVID-19 like illness must be excluded from school. According to current guidelines from the CDC, common COVID-19 symptoms among children may include:
• Fever (greater than 100.4) or chills.
• Fatigue
• Headache
• Sore Throat
• New loss of taste or smell
• New uncontrolled cough (a change from your regular cough)
• Muscle or body aches
• Shortness of breath or difficulty breathing
• Congestion or runny nose
• Nausea or vomiting
• Diarrhea
• Night Sweats

According to CDC guidance Your child will need to stay home for:
• At least 10 days have passed since symptoms first appeared AND
• At least 24 hours have passed since last fever without the use of fever reducing medications
AND
• Symptoms have improved

Students may return in fewer than 10 days with school nurse (RN) verification of one of the following:
• Medical documentation of alternate diagnosis as reason for symptoms OR
• Documentation of negative COVID test Yes, my child has one or more of the symptoms listed above. No, my child does not exhibit any symptoms listed above. This does not apply to my child's absence/tardy.
Symptoms if sick
Name of person reporting the absence *
Email *
Contact Number for Questions Contact Number for Questions * - ### - ### ####
Upload Dr.'s note or other information.

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