Kohl Extended Absence Form
We are concerned about any absence which takes a child away from school.  Completion of this form is required when your child will miss in excess of three school days.  This absence must be reviewed and signed by the principal or designee for the absence to be considered excused.  Please discuss this absence with your child's teacher so that arrangements may by made to assure missed work can be completed in a timely manner.

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Email *
Student Last Name *
Student First Name *
Grade *
First Day of Absence *
MM
/
DD
/
YYYY
Last day of absence (the last day you will be out of school)
*
MM
/
DD
/
YYYY
Reason for Absence *
Parent Name *
A copy of your responses will be emailed to the address you provided.
Submit
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