Report an Absence at KPS
Date of Absence
*
-
Month
-
Day
Year
Date
School Student Attends *** IMPORTANT NOTE ***This form should NOT be used for KHS students***
*
Goodyear
KCS
KMS
KIS
Student Full Name
*
First Name
Last Name
Parent/Guardian Daytime Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email
*
example@example.com
Absence Reason
*
Please Select
Illness
Medical Appointment (please provide documentation)
Mental Health Day (2 days per year, non-consecutive)
Religious Holiday
Legal
Other
If other is selected above, please explain.
Medical Documention (if applicable)
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Parent/Guardian Name
*
By typing your name above and submitting this form, you are certifying that you are the parent/guardian of the student named above, and understand this constitutes your signature. Intentional misrepresentation may have legal or school discipline consequences.
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