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Time Off Request
Please submit the times you need to take off school and the type of leave you are taking.
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* Indicates required question
Email
*
Your email
Name Child
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Class
*
1
2
3
4
Type of Absence
*
Medical Appointment (Please provide evidence to the office e.g. letter from consultant/orthodontist)
Holiday
Other (e.g. Music, Exam)
Absence starting from
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Absence ending on
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Reason for leave
*
Your answer
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