Cheam Fields Absence Form

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Cheam Fields Absence Form - Illness

THIS FORM IS FOR ILLNESS ONLY. PLEASE COMPLETE THE APPOINTMENTS FORM IF YOUR CHILD HAS AN APPOINTMENT.

Please submit your child's absence by 8:30 a.m. on each day of absence

If you have more than one child who is absent, please submit one form per child.

Data Protection Act 2018: The Trust is registered under the Data Protection Act for holding personal data. The school has a duty to protect this information and to keep it up to date. I understand that the school is required to share some of the data with the LEO Academy Trust, Local Authority and with the Department for Education. For more information please refer to the LEO Academy Trust Website - Privacy Notice.

Email *

Pupil's name *

Parent/Carers full name *

Pupil's class *

My child is ill - reason for pupil's absence, please tick all that apply

Common cold (runny/blocked nose, cough, temperature)

Fever

Vomiting

Diarrhoea

Sore throat/Tonsillitis

Ear ache

Flu

Chicken pox

Other- Please give more details below

General illness - other - brief description

A copy of your responses will be emailed to the address you provided.

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