Beverly Castle Preschool 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 Name
Last Name
Parent's Name
*
First Name
Last Name
Email
*
example@example.com
Please share the reason for your child's absence
*
Personal
Travel
Illness
COVID positive household member
COVID exposure (non-household member / awaiting test results)
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Personal Day
What date will your child return to school?
*
-
Month
-
Day
Year
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Travel
First day of absence?
*
-
Month
-
Day
Year
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When do you expect to return to school?
*
-
Month
-
Day
Year
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Illness
Who is sick?
*
Child
Household member
Please check all the symptoms that apply.
*
Fever of 100.4 or higher in last 24 hours
Persistent or dry cough
Has a cold, stuffy or runny nose
Sore throat
Rash
Stomach ache
Vomiting
Diarrhea
Signs of a communicable disease
Headache
Muscle or body ache
Nausea
Other
When did symptoms begin?
*
-
Month
-
Day
Year
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COVID positive household member
The Castle accepts only tests performed by medical professionals. Please email test results to director@beverlycastleacademy.org.
Who tested positive?
*
Child
Household member (sibling, parent, etc)
Is the person:
*
Symptomatic
Asymptomatic
If symptomatic when did the symptoms begin?
-
Month
-
Day
Year
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Type of test
*
Rapid
PCR (send out)
No test
Test date
-
Month
-
Day
Year
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COVID exposure (non-household member)
Last date of interaction with positive person
*
-
Month
-
Day
Year
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Will you have your child tested for COVID?
*
Yes
No
Unsure
If testing, when was the test taken?
-
Month
-
Day
Year
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What type of test?
Rapid
PCR (send out)
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If there is anything else you would like to share OR if you have any questions please feel free to share here:
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