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Attendance Notification
mlopes
2020-05-15T02:46:10+00:00
Absence Notification
Student Absence Form
Parent's Name / Nombre de los padres
*
First
Last
Parent Primary Phone / Número de teléfono
*
Parent Email / Correo electrónico de los padres
*
Child 1 / Niños 1
Child's Name/ El nombre de los niños
*
First
Last
Grade Level / Nivel de grado
*
Select one
Infant
Toddler Community
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Kindergarten
1st Grade
2nd Grade
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Child 2 / Niños 2
Child's Name / El nombre de los niños
First
Last
Grade Level / Nivel de grado
Select one
Infant
Toddler Community
Primary
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Child 3 / Niños 3
Child's Name / El nombre de los niños
First
Last
Grade Level / Nivel de grado
Select one
Infant
Toddler Community
Primary
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Dates of Absence / Fechas de Ausencia
Date Absent From:
MM slash DD slash YYYY
Date Absent To:
MM slash DD slash YYYY
COVID-19 Questions-Check all that apply!
*
Experiencing cough, fever or shortness of breath?
Been around anyone suspected of COVID-19 within the last 14 days?
Have you traveled to any COVID-19 hotspots within the last 14 days?
No to all the above questions.
If you have the symptoms listed here, the nurse will follow up with you.
Reason for Absence / Motivo de ausencia
*
If your child is sick, please list symptoms. / Si su hijo está enfermo, nombre los síntomas.
Upload a Doctor Note / Subir una nota del médico
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