Absentee Absentee Form For extended absence of 5 days or more please complete this exemption form in addition to the Absence notification below. Holiday Form 5 Days or more - Exemption from School Attendance ED175 Form C Child's Full Name * Class * Please Select Reception - Room 1 Reception - Room 2 Reception - Room 3 Reception - Room 4 Mid Year Reception - Room 5 Mid Year Reception - Room 6 Year 1 - Room 7 Year 1 - Room 8 Year 1 - Room 9 Year 1 - Room 10 Year 2 - Room 11 Year 2 - Room 12 Year 2 - Room 13 Year 3 - Room 14 Year 3 - Room 15 Year 3 - Room 16 Year 4 - Room 20 Year 4 - Room 21 Year 4 - Room 22 Year 5 - Room 17 Year 5 - Room 18 Year 5 - Room 19 Year 6 - Room 23 Year 6 - Room 24 Year 6 - Room 25 Date Absent / Arriving Late / Early Collection * Date Return Absent or Arriving Late or Early Collection? * Absent Arriving Late Early Collection Please advise reason for absence / late arrival / early collection * Unwell / Illness Family / Social Medical / Dental appointment Family Holiday Unwell-Cold/Flu/COVID symptoms - If Unwell-Cold/Flu/COVID Symptoms, please advise the school the outcome of the COVID test as soon as possible Other please specify Reason for "other" absence / late arrival / early collection If Late arrival - estimated time of arrival If Early Departure - estimated time of departure Parent/Guardian Full Name * Submit Loading... Thank you for your submission.
