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Absence Form for Medical, Dental or Optical Appointment 

Please complete this form to inform us of an appointment your child has during the school day.

Name of Child

I would like my child to be granted leave of absence from school for the following reason (required).

I would like to collect my child from school at (required) *

If the appointment is at the start of the school day, please put the time as 8.30am.

Parent completing form

Please upload a photo that shows appointment booking information. This can be a screenshot or photo of the appointment text message/letter. (Required) *

Add File

Thanks for submitting!

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