Report an Absence
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1.
Student Name
*
2.
Enter the beginning date of the absence.
*
mm/dd/yyyy
3.
Enter last day of the absence.
*
mm/dd/yyyy
4.
Teacher's Name
*
--Please Select--
(PS) Mrs. Evans-Vaughan
(K) Ms. Cacho
(K) Mrs. Rickman
(K) Ms. Brynlee Garrison
(K/1/2/3) Ms. Perez
(1) Mrs. Chun
(1) Mrs. Volkert
(1) Mrs. Wright
(2) Mrs. Killam
(2) Mrs. Osman
(2) Mrs. Snyder
(2) Ms. Rickman
(3) Mrs. Trueman
(3) Mrs. Morley
(3) Ms. Yi
(3) Mrs. Shuler
(3/4/5/6) Mrs. Marin
(4) Ms. Alvarez
(4) Mrs. Falls/Mrs.Mackliff-Horack
(4) Ms. Peduto
(5) Ms. Husain
(5) Mrs. Keuning
(5) Ms. Ouni
(6) Mr. Cabral
(6) Ms. Hensley
5.
Reason for Absence (If student is sick and has more than 1 symptom, please check "Other" and list all symptoms.)
Reason for Absence (If student is sick and has more than 1 symptom, please check "Other" and list all symptoms.)
sore throat
cough
chicken pox
asthma/allergy
doctor/dentist appointment
stomach ache
fever
runny nose/congestion
ear ache
nausea/vomiting/diarrhea
vacation / out of town
Other, please specify
6.
Name of person reporting the absence.
*
ONLY a parent or guardian may report an absence.
7.
Relationship to student
*
Please indicate your relationship to the child whose absence you are reporting.
8.
Please enter the best number to reach you.
*
9.
Please enter your email address.
10.
Additional notes/comments:
