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COVID-19 Absence Reporting

Complete this form to report your child's absence. Please note this form is ONLY to excuse absences related to COVID-19.

Please click on the link below to review the quarantine requirements from the Alameda County Public Health Department:

Parent / Guardian's Full Name (First, Last)*

Answer required for "Parent / Guardian's Full Name (First, Last)"

Student's Full Name (First, Last)*

Answer required for "Student's Full Name (First, Last)"

Student Grade*

Answer required for "Student Grade"

Company

Answer required for "Company"

Absence Date(s)*

Answer required for "Absence Date(s)"

Reason for Absence*

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Cadet has been exposed to a positive COVID-19 case & will quarantine

Cadet tested positive for COVID-19 & has symptoms

Cadet tested positive for COVID-19 & is asymptomatic

Cadet is experiencing symptoms & will get tested

Please Attach Doctor's Note Excusing Absences:

Answer required for "Please Attach Doctor's Note Excusing Absences:"

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Please Attach Proof of Negative COVID-19 Test Result:

Answer required for "Please Attach Proof of Negative COVID-19 Test Result:"

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Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"