2024-2025 STUDENT ABSENCE REPORT FORM

2024-2025 STUDENT ABSENCE REPORT FORM
Dear Parent/Guardian,

Please fill out this form if your child will be absent from school.
Date*

MonthDayYear
Date
STUDENT'S GRADE*

PRESCHOOLKINDERGARTEN1ST GRADE2ND GRADE3RD GRADE4TH GRADE5TH GRADE6TH GRADE7TH GRADE8TH GRADE
STUDENTS NAME*

First NameLast Name
PARENT/GUARDIAN REPORTING THE ABSENCE*

First NameLast Name
Parent Phone Number*
Symptoms:*

Fever (Must be fever free for 24 hours without medications before returning to school)Cough.CongestionSore ThroatHeadacheNausea/Vomiting (Must stay home for 24 hours after last episode of vomiting)DiarrheaOther
Reason for student's absence:*

IllnessVacationOther
Other Information
Should be Empty: