ArrangedAbsenceForm
Student Arranged Absence Notification
Kindergarten
This form is to be used for all absences from classes if the absence is
appropriate to be excused. This form is not necessary if the student misses
classes due to a school related activity such as a field or athletic trip.
Return completed form to the office.
Name of student: ___________________________________________
Dated of absence(s):________________________________________
Reason for absence: (must be filled in) _______________________
_____________________________________________________________
_____________________________________________________________
Parent Signature: ___________________________ Date: __________
Teacher Signature: __________________________ Date: __________
Office Initial: ________________________________________________
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