Report Absence

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Report Absence

Student Name *

Student Room *

Nikau 1

Kauri 2

Kawakawa 3

Kowhai 4

Puriri 5

Titoki 6

Rimu 7

Pohutukawa 8

Rata 9

Totara 10

Matai 11

Tanekaha 12

Miro 13

Pukatea 14

Karaka 15

Manuka 16

Mahoe 17

Harakeke 18

Tawa 19

Horopito 20

Horoeka 21

Not sure?

Your Name *

Your phone number *

Absent from *

Select the first day of absence

Start time of Absence

If leaving school after the beginning of the school day (8:30AM).

Time

End time of Absence

If back at school before the end of the school day (2:30PM).

Time

Expected back at school on*
*

Reason for absence*
*

Sick

Holiday

Appointment

Bereavement

Other:

Submit

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This form was created inside of Tamahere Model Country School.