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: ________________________________________________