Absence Form
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Required
If your student is unable to attend school then please fill out the following questions.
Student's Name
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required
First Name
Middle (optional)
Last Name
Student's School
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required
Broadway Learning Center
Cascade Middle School
Columbia Heights Elementary
Columbia Valley Gardens Elementary (CVG)
Kessler Elementary
Longview Virtual Academy
Mint Valley Elementary
Monticello Middle School
Mt. Solo Middle School
Northlake Elementary
Olympic Elementary
Robert Gray Elementary
St. Helens Elementary
Student's Teacher
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required
Is your student late or absent?
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required
Late
Absent
Will your student need a hot lunch?
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required
Yes
No
Start Date of Absence
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required
Return Date from Absence
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required
Reason for Absence
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required
Sick
Other
Reason if "Other"
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required
Symptoms if Sick
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required
Fever
Head Ache
Cough/Sneezing
Stomach Ache/Nausea
Vomiting
Other
Please list other symptoms.
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required
Your Name
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required
First Name
Last Name
Your Relationship to the Student
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required
Daytime Phone Number
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required
Email Address
Submit