Absence Form Template - Walton Elementary PAC

Walton Elementary PAC

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After School Program Absence Reporting

If your child will be absent from an after school class (whether or not they missed the school day) please fill out the absence form.
All absences must be submitted by 2PM on the day of the program.

Absence Reporting Form

* Indicates required field

Child Name *

First

Last

Parent Name *

First

Last

Phone Number *

Email *

Date of Absence *

Div # / Teacher's Name / Grade # *

Division: 1 - Mrs. Rajwani / Mrs. Johnston - 4/5 Division: 2 - Mr. Finlay - 4/5 Mandarin Division: 3 - Mr. Venegas / Ms. Grzesik - 4 / 5 Division: 4 - Ms. Ji - 4/5 Mandarin Division: 5 - Mr. Parnell / Ms. Ewart - 4/5 Division: 6 - Ms. Hu - 4/5 Mandarin Division: 7 - Ms. Meadows - 3/4 Division: 8 - Mrs. Sluis - 3 Mandarin Division: 9 - Ms. Wegrich - 3/4 Division: 10 - Ms. Chen - 3 Mandarin Division: 10 - Ms. Chen - 3 Mandarin Division: 11 - Ms. Pham / Ms. Ariyawardena - 2/3 Division: 12 - Ms. Gosselin - 2 Mandarin Division: 13 - Ms. Pobran / Ms. Ariyawardena - 1/2 Division: 14 - Ms. Hsiao - 2 Mandarin Division: 15 - Ms. Mioch - 1/2 Division: 16 - Ms. Lore - 1 Mandarin Division: 17 - Mrs. Hoang / Ms. Bordignon - 1/2 Division: 18 - Ms. Pan - 1 Mandarin Division: 19 - Ms. Richmond - 1/2 Division: 20 - Ms. Thiara - K Mandarin Division: 21 - Ms. Charles / Ms. Hwang - 1/2 Division: 22 - Ms. Zhang - K. Mandarin Division: 23 - Ms. Biedka - K Division: 25 - Mrs. Cimaglia / Ms. Peragine - K

Please select the program your child will be absent from *

Crafting Club (K-2) Robotics (K-2) Choir (K-5) Ultimate/Cricket (K-2) Painting & Drawing (K-2) Freestyle Dance (K-2) Pottery (K-2) Soccer Corner (K-2) Modelling Clay (3-5) Basketball 3-5 Clay & Craft 3-5 Chess Club 3-5 Math Club 3-5 Comic & Anime (3-5) Ultimate/Cricket (3-5)

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Please contact us at [email protected]

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Home
About Us
Fundraising
After School Activities
- Volunteer Sign-up
Useful Links
Volunteer (Sdare July 3)
Volunteer (Sdare July 3)