Junior Explorers Child Development Center
Junior Explorers
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Extended Illness Request
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Request Additional Information
Commonly asked Q & A
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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
*
Limit exposure to groups of people
Diagnosed with communicable disease
Parent or family member temporarily excused from work
Date of expected return
*
Submit
