Junior Explorers Child Development Center
Junior Explorers
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Request for Extended Illness
*
Indicates required field
Child's Name
*
First
Last
Date of Extended Illness *must be at least 5 consecutive weekdays
*
Reason for absence
*
COVID 19 positive test
COVID 19 positive exposure - quarantine
Diagnosed with communicable disease
Parent or family member temporarily excused from work
Injury
Date of expected return
*
Submit