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 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)

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

Month Day Year
When do you return home? *

Month Day Year
The Chicago Travel Advisory now states that children under 5 years old are exempt, as long as they are traveling with vaccinated adults. If one or more adults is not vaccinated please refer to Chicago Travel Advisory for guidance on quarantining and testing prior to returning to the Castle.
Upon returning home will student: (out of state/international travel only)

Quarantine for 7 days Provide: 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? *

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

Symptomatic Asymptomatic
If symptomatic when did the symptoms begin?

Month Day Year
Type of test *

Rapid PCR (send out) No test
Test date

Month Day Year

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