BSA Attendance/Absence Form

Attendance/Absence Form
Date

YearMonthDay
Child's Name

First NameLast Name
Child's School
Parent

First NameLast Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Date Expected Back

YearMonthDay
Comments
Reason
I understand and agree that if my child is absent due to illness or symptoms of illness, they will not return to care until they have been symptom-free for 24 hours from the start of symptoms.
Date Leaving Alberta

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Date Returning to Alberta

MonthDayYear
2 digit month, 2 digit day, 4 digit year
First day of symptom(s)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Estimated date of contact

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date of Positive Test

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Last Date of Attendance at Steps Academy

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Please verify that you are human
I understand that individuals with cough, fever, runny nose, sore throat or shortness of breath are required to isolate for 10 days as per CMOH Order 05-2020 AND all symptoms are gone (which may be longer than 10 days) OR until they receive a negative Covid test result AND all symptoms are gone (which may be longer than 10 days).

If NO Covid test is taken, care may only resume after TEN (10) DAYS from start of first symptom and once ALL SYMPTOMS ARE GONE.

Children returning with symptoms will not be accepted or will be sent home.

Children with pre-existing conditions documented on file with Steps Academy, may return to care without Covid testing once they are well enough to attend and have no contagious symptoms.
Other Notes/Details
Should be Empty: