Declaration:I have no reason to believe that my child has an infectious disease and that I have followed all medical and public health guidance with respect to the exclusion of my child from educational facilities. *
Required
Your Name *
Your answer
Students Name
*
Your answer
Teacher Name *
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Absence Start Date *
MM
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DD
/
YYYY
Absence End Date *
MM
/
DD
/
YYYY
Reason for absence *
Choose
Illness
Medical Appointment
Holiday
Urgent Family
Suspension
Other
A copy of your responses will be emailed to the address you provided.