ABSENSCE REPORT | preschool

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Date of Absence

What is the reason for your child's absence?

Does your child have a fever *

Yes

No

If yes, what is your child's temperature?

Have you been in contact with anyone with COVID-19 in the past 14 days? *

Yes

No

In the past 24 hours has your child experienced any of these symptoms? * Required

Persistent cough

Shortness of breath

Sore throat

Body aches

Fever

Chills

Diarrhea

Headache

New loss of taste/smell

None of these

Have you travelled overseas in the last two weeks? *

Yes

No

Thanks for submitting!

Child's Name

Email address

Are there any other symptoms to report

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