Pre-Arranged Absence Request

Please complete and submit this form to request that anticipated absences are pre-approved by WKTHS administrators.

Student Name Student Name First Last
Student Number
Must be a number less than or equal to 999999.
Grade

Grade 9th 10th 11th 12th
First Date of ABSENCE - Not birthday of the student First Date of ABSENCE - Not birthday of the student / MM / DD YYYY
Last Date of ABSENCE Last Date of ABSENCE / MM / DD YYYY
If your pre-arranged absence is for class periods within a single day, which class periods will this student miss?

If your pre-arranged absence is for class periods within a single day, which class periods will this student miss? 1st 2nd 3rd 4th 5th 6th 7th
Parent/Guardian phone number where you can be reached during the day. Parent/Guardian phone number where you can be reached during the day. - ### - ### ####
Parent/Guardian Email Address
Reason for absence

Reason for absence Religious institutes, conferences or workshop Absences for trip or other parental request that are determined to be educationally relevant for the student as determined by the principal or designee
Brief description
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