A stimulating learning community
Absence Form
Guardian full name
*
Child given name
*
Child surname
*
Class
*
--
KG
KM
KP
1/2R
1DM
2M
3O
3W
4B
4F
5/6C
5/6F
5/6W
Start of absence
--
9
10
11
12
13
14
15
:
--
00
10
20
30
40
50
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
----
2009
2010
2011
2012
2013
2014
End of absence
--
9
10
11
12
13
14
15
:
--
00
10
20
30
40
50
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
----
2009
2010
2011
2012
2013
2014
Person picking up/dropping off child
*
Relationship to child
*
--
Mother
Father
Grandparent
Guardian
Relative
Friend
Carer
Explanation
*
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If you would like further information prior to submitting this form, contact the school office on 02 9389 4527.
If absence is 15 or more school days, do not use this form. Please fill in the “Long Term Absence” form from the
School Downloads
section and return it to the school office.
By checking this box, I authorise my child's absence and explanation. I understand that this is a legal explanation and may be used to substantiate my child's attendance at school by the Home School Liason Officer or used in court if requested.
Primary email
*
Guardian full name
*
Child given name
*
Child surname
*
Class
*
Start of absence (hour)
Start of absence (minute)
Start of absence (date)
End of absence (hour)
End of absence (minute)
End of absence (date)
Person picking up/dropping off child
*
Relationship to child
*
Explanation
*
Primary email
*
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A NSW Department of Education and Training School