Beverly Castle Academy Absence Form 2021-2022

Beverly Castle Academy Absence Form

Thank you for letting us know that your student/s will be missing today. We look forward to seeing them back at the Castle soon. Thank you for helping us keep all the children at the Castle happy and healthy!
Child's Name*

First NameLast Name
Parent's Name*

First NameLast Name
Email*
example@example.com
Please share the reason for your child's absence*

PersonalTravelIllnessCOVID positive household memberCOVID exposure (non-household member / awaiting test results)

Travel
Where will you be traveling? *
When do you depart?*

MonthDayYear
When do you return home?*

MonthDayYear
Upon returning home will student: (out of state/international travel only)*

Quarantine for 7 daysProvide: COVID Test upon return to Chicago

COVID positive household member

The Castle accepts only tests performed by medical professionals. Please email test results to director@beverlycastleacademy.org.
Who tested positive?*

ChildHousehold member (sibling, parent, etc)
Is the person:*

SymptomaticAsymptomatic
If symptomatic when did the symptoms begin?

MonthDayYear
Type of test*

RapidPCR (send out)No test
Test date

MonthDayYear

If there is anything else you would like to share OR if you have any questions please feel free to share here:
Should be Empty:

Beverly Castle Academy Absence Form