Glasllwch
PRIMARY SCHOOL
Good attendance at school is vital if your child is to achieve their full potential.
Please complete/submit one form per child
Childs First Name
*
Childs Last Name
Year group
Date of Reported Illness
Please select which option best describes your child’s illness:
Diarrhoea
Cough
Headache
Earache
Injury
Sickness
Cold
Fever/ Temperature
Tonsillitis
Hospital Visit Required
Other
Submit Form
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