South Island School Absence Form

South Island School Absence Form
* For student's absences "more than 3 days", please submit a LTA(Long Term Absence) request with supporting documents instead of this Absence Form.
Student Name*

Preferred NameSurname
Year Group*
Tutor Group*
Absence Time*

Whole DayLate ArrivalEarly Dismissal
Absence Date*

DayMonthYear
Absence start date
Return to School Date*

DayMonthYear
First day back at school after absence
Time Arriving*
Time Departing*
Reason*

illnessFamily/Personal reasonsOther
Details
Symptoms (May tick multiple) *
Fever
Sore throat
Cough
Runny nose
Diarrhoea
Vomiting
Skinrash
Blisters on hand/foot
Oral ulcers
Others (Please specify)
Body Temperature
e.g 36*C
If your child has an official diagnosis, please specify.
ie. URTI, Flu, Gastrointestinal tract
Please check if the following information you have provided are correct.

{studentName} ({yearGroup}{tutorGroup}) will be absent from school on {absenceDate}.
Parent Email*
example@example.com
CC Email address (If any)
example@example.com
Supporting document (if any)

Cancelof
Should be Empty: