PKC Absence Form
Child's Name
(Required)
Parent/Guardian Name
(Required)
Parent/Guardian Email
(Required)
Site
(Required)
DTY Stars
DTY PreK
Early Learning Center
County Y
Northwestern
Robison
Waterford
McKean
Wattsburg PreK Ms. Chelsea
Wattsburg PS
Reason for Absence:
(Required)
Illness
Religious reasons
Death
Natural disaster/ severe weather
Transportation issues
Vacation
Other
First Date of Absence
(Required)
Expected Return
(Required)
If your child has a contagious illness that we need to be aware of or any other information that you would like us to know, please detail it here:
Upload Supporting Documentation if Available:
Drop files here or
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Accepted file types: pdf, doc, docx, jpg, jpeg, png, Max. file size: 512 MB.