Christ the King Catholic Church

5711 SW 9th / Office: 820 Porter Ave. Des Moines Iowa, 50315

515-285-2888

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RE Absence Form

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  Student Name
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Family Contact Information
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Date of Absence REQUIRED
  Select a Wednesday
  Please fill out this field. Please enter a date.
  
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