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Daily Absence Form

If your child is unwell today, please complete:

Child's name:* Child's surname:* Class:* Today's date:*

Reason for absence (symptoms):

I have recently returned from a country on the quarantine list

Child to return to school on:

Have you been in close contact with a confirmed case of someone who has Covid-19

New continuous cough

High temperature

Loss of, or change in, your normal sense of taste or smell (anosmia)

Headache

Stomach Bug (please do not return to school for 48 hours after last episode)

Diarrhoea (please do not return to school for 48 hours after last episode)

Cold

Family Emergency

Travel Emergency

Medical / Dentist appointment

If your child is attending a medical / dentist appointment during the day and normally have a school meal, please indicate the time we can expect to see them back at school and what colour meal band he/she would like, if back in time for lunch.

	Leaving school at:	Arriving back to school at:
Time:

Meal choice - Red (Main), Yellow (Pasta), Green (Vegetarian, Blue (Baguette):

Secondary School Visit / Open Event

If your child is attending an open day / secondary school visit during the day and normally have a school meal, please indicate the time we can expect to see them back at school and what colour meal band he/she would like, if back in time for lunch.

	Leaving school at:	Arriving back to school at:
Time:

Meal choice - Red (Main), Yellow (Pasta), Green (Vegetarian, Blue (Baguette):

Please provide your child with a lunch if they are not here for the lunch serving:
YEAR 3 & 4 = 11.30 - 12.30 and YEAR 5 & 6 = 12.30 - 13.30

Any other

Breakfast & After School Club

My child will not be attending Breakfast & After school club today:Breakfast ClubAfter School ClubBoth Breakfast & After School clubs

Please provide more information:* Please provide your email address if you want an electronic copy of the form: