Summer Camp Absence Form

If students are arriving late or leaving early, you do not need to complete this form. Please complete one form per child.

Parent Email

Program Name:

Date(s) Absent:

Reason for Absence:

If you selected "Safety/ Health Concerns" please explain:

If you selected "other" please explain:

If illness, is child experiencing any symptoms (ie: fever, vomiting, headache, stomach pain, diarrhea)?

Yes

If your child experiencing any of these symptoms (ie: fever, vomiting, headache, stomach pain, diarrhea), please keep your child home until they are symptom free for 24 hours.