Northwest Area School District Student Excuse Blank

Please Select the Building Your Child Attends *
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Is your child taking any medication to treat or reduce a fever such as Ibuprofen, Advil, Motrin or Tylenol? *
Is your Child experiencing any of the following symptoms?
GROUP A
GROUP B
Stay Home if you:
* Have one or more sypmtoms in Group A
* Have two or more symptoms in Group B
* Are taking fever reducing medication
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Parent/Guardian Signature *
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