Ka Hana Pono - Absence Form

Please complete this form by 9:30am whenever your child will be absent from school.

Children must be signed in and signed out each day.

Parents are responsible for reporting each absence.

*for additional information please refer to page 9 of the Parent Handbook

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CHILDS INFORMATION:

Child #1's First and Last Name *

Child #2's First and Last Name:

DATE(S) YOUR CHILD WILL BE ABSENT? *

Comments or Questions:

Name of Parent/Guardian Completing This Form: *

Today's Date: * +