School Absence Log

If your child is absent from school for any reason, please fill out this form by 9:00am. If we do not hear from you, our School Nurse will be calling to check in on your child after 9:00am.

Parent/Guardian Name(Required)
Student Name(Required)
Please select the first date of your child's absence. If your child will be out for an extended period, please include the full date range in the section below.
MM slash DD slash YYYY
Is your child exhibiting any of the following symptoms?(Required)
Confirmation(Required)
Clear Signature