JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
ARPS On-Site Attendance Application Form
Parents/Carers may use this form to indicate a request for their child/ren to attend on-site schooling because the child/ren is/are not able to be supervised at home and no other arrangements can be made.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Albany Rise Primary School On-Site Attendance Application Form- Google
Student/s name:
*
Your answer
Student/s date of birth:
*
MM
/
DD
/
YYYY
Student/s year level:
*
F
1
2
3
4
5
6
The Victorian Government has stated that all students who can learn from home must learn from home
*
I am requesting that my child/ren attend on-site schooling because my child/ren is/are not able to be supervised at home and no other arrangements can be made.
By submitting this form, I declare that my child/ren is/are well and I will collect my child/ren as soon as is practicable upon the request of the school if my child becomes unwell.
Required
Starting Date of attendance this week: (Week Beginning Monday, the date of which is?:)
*
MM
/
DD
/
YYYY
Dates required: Please note you need to complete this process weekly to ensure adequate staffing on-site.
*
AM
PM
ALL Day
Monday
Tuesday
Wednesday
Thursday
Friday
AM
PM
ALL Day
Monday
Tuesday
Wednesday
Thursday
Friday
Emergency Contact Details: Parent/Guardian name:
*
Your answer
Emergency Contact Details: Parent/Guardian 'signature': (insert email address or digital signature)
*
Your answer
Date: (of this form being submitted online)
*
MM
/
DD
/
YYYY
I understand that I will receive individual confirmation of a place for my child for onsite learning once this form is received and processed. No student is expected to attend the school without this confirmation.
*
YES, I will await confirmation of a place before sending my child.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Department of Education.
Report Abuse
Forms
