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Absence Reporting

Please submit this form before 9.15am.

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Your Name

Your Relationship to Student

Your Email Address

Your Phone Number

First Name of Student

Surname of Student

Form Group

Year Group

Date Absent

Anticipated Date of Return

Reason for Absence

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Kirkham and Wesham Primary School
Nelson Street
Kirkham
Preston
Lancashire
PR4 2JP
Tel: 01772 682866

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