Student Name
*
First Name
Last Name
Class
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Rm 16 Kindy
Rm 17 PP1
Rm 18 PP2
Rm 15 PP/1
Rm 1 Yr 1
Rm 2 Yr 1
Rm 3 Yr 2
Rm 4 Yr 2
Rm 5 Yr 2
Rm 6 Yr 3
Rm 7 Yr 3
Rm 8 Yr 3/4
Rm 9 Yr 4
Rm 10 Yr 4
Rm 11 Yr 5
Rm 12 Yr 5
Brooks A Yr 6
Brooks B Yr 6
Brooks C Yr 6
Absent From
*
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Day
-
Month
Year
Date
Absent To
*
-
Day
-
Month
Year
Date
Reason for Absence
*
Your Name
*
First Name
Last Name
Your Email Address
*
Telephone Number
*
Signature
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