Student Absence Reporting Student's Name* First Last Student's Grade*9101112Guardian's Name Completing Form* First Last Contact Phone # (If Follow-up Required)*Contact Email (If Follow-up Required)* Date(s) of Absence*Reason for Absence*AppointmentCollege VisitInjuryLate ArrivalQuarantineSicknessVacationSymptoms (check all that apply) Congestion or Running Nose Cough Diarrhea Fatigue Fever or chills Headache Muscle or body aches Nausea or vomiting Shortness of Breath or difficulty breathing Sore throat Stomach Cramps Time(s) Off Campus*
