Report a Student Absence

Please submit this form for each day your child is absent from school

Date of Absence* Student Name* Form Group (If Known) eg - 7ABC Name of Person Reporting Absence* Relationship to Student* Reason for Absence eg Unwell - sore throat - If the absence is Covid-19 related, please provide specific information with regard to first day of symptoms, testing, self-isolation outcomes etc*

Please complete the section below for COVID 19 related absences

Date of first symptom (please state if asymptomatic) Date of positive LFT Date of positive PCR

If your PCR has notified you have tested positive with the Omicron variant, please tick hereTested Positive for Omicron

Date your child is expecting to return to school (providing symptoms no longer persist)

By submitting this form, I give my consent for the data input to be used by Arthur Mellows Village College for the purpose of recording my child’s absence. I understand that Arthur Mellows Village College will destroy this information as soon as it is no longer required.

I Agree*Please Tick

Four Cs Academy Trust

Arthur Mellows Village College

Report a Student Absence

Please complete the section below for COVID 19 related absences

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