Pre-K Non-Attendance Report Form
Use this form to report a Pre-K child’s absence, missed dates, reason for non-attendance, and follow-up contact details.
Child and Reporter Information
Child's Full Name
*
First Name
Middle Name
Last Name
Classroom / Grade or Pre-K Group
*
Reporting Adult's Full Name
*
First Name
Middle Name
Last Name
Non-Attendance Details
Date of Non-Attendance
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Non-Attendance
*
Illness
Family Emergency
Travel
Appointment
Transportation Issue
Other
If Other, please explain
Expected to Return Next School Day?
*
Yes
No
Not Sure
Follow-Up Contact
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Additional Notes
Submit Report
Should be Empty: