John Knox Community Preschool Absence Notification Form
Child's Name
*
First Name
Last Name
Name of parent/guardian submitting form
First Name
Last Name
Email (optional)
example@example.com
Office Notified by
Email
Office visit
Phone call
Voicemail
Additional information
Text from email, voicemail, or notes from conversation
Reason
*
Appointment
Illness/Injury
Vacation
Other
If absent for illness, please indicate symptoms
Cough/Runny nose
Fever
Vomiting/Diarrhea
Other contagious
Other non-contagious
Teacher(s)
*
Kim (Pre-K)
Lindsay (Wee Waddlers)
Laurie (3s)
Laurie (Enrichment)
Segenet (2s)
Shelby (2s)
Stephanie (Pre-K)
Ms. Taylor (Pre-K)
Yolanda (3s)
Yolanda (Spanish)
First date of absence
*
Date your child will return to school (if known)
Comments
Submit
Should be Empty: