PKC Absence Form
Child's Name
(Required)
Parent/Guardian Name
(Required)
Parent/Guardian Email
(Required)
Site
(Required)
Downtown Shooting Stars
Downtown PreK
Early Learning Center
Edinboro Early Learning University
Eastside PS 4
ESY PS 5
Northwestern
Summit
Glenwood
Waterford
McKean
Wattsburg
Reason for Absence:
(Required)
Illness
Religious reasons
Death
Natural disaster/ severe weather
Transportation issues
Vacation
Other
First Date of Absence
(Required)
MM slash DD slash YYYY
Expected Return
(Required)
MM slash DD slash YYYY
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: