CS-IT Absence Form
Child's Name
(Required)
Parent/Guardian Name
(Required)
Parent/Guardian Email
(Required)
Site
(Required)
Downtown Y
Early Learning Center
Edinboro Early Learning University
Eastside Y
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
Select files
Accepted file types: pdf, doc, docx, jpg, jpeg, png, Max. file size: 512 MB.