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Child Absence Form
Use this form to alert us as soon as possible that your child is feeling unwell and will not be attending school.
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* Indicates required question
What is your childs name?
*
Your answer
What year is your child in?
*
Choose
Preschool (0 - 2 years old)
Nursery (3 - 4 years old)
Reception (4 - 5 years old)
Year 1 (5 - 6 years old)
Year 2 (6 - 7 years old)
Year 3 (7 - 8 years old)
Year 4 (8 - 9 years old)
Year 5 (9 - 10 years old)
Year 6 (10 - 11 years old)
On what date will your child be absent?
*
MM
/
DD
/
YYYY
Please tick all the symptoms your child has and/or add your own
*
Congestion - blocked or runny nose
Cough
Diarrhoea
Headache
High temperature
Sneezing
Sore throat
Stomach ache
Vomitting
My child has no symptoms they are absent for other reasons (please provide details below)
Other:
Required
Please provide details to explain your child's absence from Holy Trinity.
Your answer
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