KHS Absent Reporting Form -                          REPORT YOUR STUDENT ABSENT EACH DAY
THIS FORM IS TO BE USED FOR FULL DAY ABSENCES ONLY.  

TO REPORT A STUDENT TARDY OR TO BE DISMISSED - PLEASE CALL THE MAIN OFFICE - 985-1110

 
Parents/guardians are asked to complete this form each day when reporting a student absent from school.  This information is kept confidential and policies regarding general illness and communicable diseases will be followed as stated.  The school nurse may follow up with the parent/guardian (when an absence relates to an illness) after the form is submitted.

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Email *
Student's Last Name *
Student's First Name *
Name of the parent/guardian filling out this form *
Parent/Guardian phone number where they can be reached today *
Date this absence is to be taken *
MM
/
DD
/
YYYY
The reason for this decision is *
My student is a *
My student also attends
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My student is an athlete at KHS and is currently participating in a sport *
My student participates in an extra-curricular activity or club at KHS after regular school hours *
My student is participating in Pool Testing? *
My student is 2 weeks past being fully vaccinated for Covid-19? *
My student has been a close contact of Covid-19 outside of school.  Please contact the school nurse directly if you answer yes or maybe. *
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