Absence Request Form (English)
We ask that you let us know when you will need to cancel your child's session at Child Enrichment Center for any reason. We would like to know 24hrs in advance if you need to cancel your child's treatment session but if your child's wakes up with an illness please let us know via this form (or call us (509)420-3442) 2 hours before your child's session so that we can make other arrangements for your child's behavior technician. Please let us know at least one week in advance when you will need to cancel sessions for vacation or other planned absences such doctors appointments...etc.
Name of Child
*
Date of Absence
-
Month
-
Day
Year
Date
Return Date
-
Month
-
Day
Year
Date
Reason
Fever (return once no fever for 24 hours without medication)
Vomiting (return after 24 hours of last episode)
Vacations
Medical/Dental/Behavioral Health Appointment
Phone Number
-
Area Code
Phone Number
Email
*
example@example.com
What other information would you like us to know about your child's absence?
Parent's Name
First Name
Last Name
Submit Form
Should be Empty: