Absence Reporting Form
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Parent Full Name *
Contact Number *
Child's Full Name *
Child's Class / Year group *
Does your child have a high temperature? *
If yes, how high is their temperature? (degrees)
Does your child have a new continuous cough? (coughing a lot for more than an hour, or three or more coughing episodes in 24 hours) *
Does your child have a loss of, or change in sense of smell or taste? *
If you have answered 'yes' to one or more of the above, please leave a day time contact number (if different from above)
If your child has any other symptoms please state what they are below:
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If your child's absence is not due to sickness please let us know the reason
Please note – your child does not need a test if they have a runny nose, are sneezing or feeling unwell but do not have a temperature, cough or loss of, or change in, sense of smell or taste because these are not normally symptoms of coronavirus. *
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