Please type in the child's name:
My name is:
My phone number is:
I am the legal guardian of this child: yes no
My child will not attend school today (please check):
My child has: (use ctrl to select multiple options) Fever Sore throat Confirmed Strep Cold Stomach flu Head lice Other
Estimated length of absence (please choose one): Only today Less than 3 days More than three days Don't know
His/her classroom teacher is: unselected K Kalavritinos K Kazemzadehmarand K Kim K Stewart 1 Berry 1 Hornstein 1 Kimmer 1 Patten 2 Kim 2 Jutkowitz 2 Zacks 2 Jamieson 3 Bray 3 Lakner 3 Segal 4 Battle 4 Droggitis 5 Capon 5 Greenberg 5 Connolly PEP Monroe SCB Castel
Additional information: