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Student's Name*
Student Absence
Covid Reporting
Covid Reporting AND Absence
STUDENT ABSENCE REPORTING:
Date(s) of Absence
Today's Date* January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2026 2025 2024 2023 2022 2021 2020 2019 2018
Name of Parent/Guardian reporting absence (if not parent/guardian, please explain below)*
Email for parent/guardian reporting absence:*
Pre-K (3 & 4 year olds)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
24 mo. - 3 yr old Program
Tested Positive for Covid-19
Illness, all other illnesses
Medical Appt
Christian Youth Retreat
Missions Trip
Death in Immediate Family
Vacation/Other Type of Personal Day
Other (explain below)
Yes
No
Explanation of Absence (required)