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Absentee Form
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" indicates required fields
Application for:
Select Holiday
Sick Day Replacement
Public Holiday Replacement Day
Centre
*
Select Centre
Ardross
Ashby
Baldivis
Bayswater
Belmont
Brabham
Coolbellup
Dayton
Karrinyup
Midland
Perth – Elizabeth Quay
Wattle Grove
Family Details
Account Name:
*
Date
DD slash MM slash YYYY
Child/ren’s Name(s)
Room
Child/ren’s Name(s)
Room
Child/ren’s Name(s)
Room
Child/ren’s Name(s)
Room
Absentee Notification
My child/ren (listed above) will not attend / did not attend care on the following date(s)
First day of leave
DD slash MM slash YYYY
Last day of leave
DD slash MM slash YYYY
Public Holiday Replacement Day
Date of Public Holiday
DD slash MM slash YYYY
Please list options for preferred date of replacement within 4 weeks of Public Holiday:
Week One
DD slash MM slash YYYY
Week Two
DD slash MM slash YYYY
Week Three
DD slash MM slash YYYY
Week Four
DD slash MM slash YYYY
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Section Break
Start date with Centre
DD slash MM slash YYYY
Make up day
Make up day
Please provide 4 dates that are suitable (this needs to be within 10 days of the sick day)
Date 1
DD slash MM slash YYYY
Date 2
DD slash MM slash YYYY
Date 3
DD slash MM slash YYYY
Date 4
DD slash MM slash YYYY
This form must be completed by the close of business on the day of your child's absence to be eligible for a make-up day
Stride reserves the right to request a Medical Certificate
Sick day makeup policy
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Carer First Name
*
Carer Last Name
Email
*
Mobile Phone
*
Child First Name
*
Child Last Name
Child's Date of Birth
*
DD slash MM slash YYYY
Care Required Date
DD slash MM slash YYYY
Days required
Mon
Tue
Wed
Thu
Fri
Centres
*
Centres*
Ardross
Ashby
Baldivis South
Bayswater
Belmont
Brabham
Coolbellup
Dayton
Karrinyup
Midland
Perth - Elizabeth Quay
Wattle Grove
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" indicates required fields
Your Name
*
Your Phone Number
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Location
*
Location
Ardross
Ashby
Baldivis South
Bayswater
Belmont
Brabham
Coolbellup
Dayton
Karrinyup
Midland
Perth - Elizabeth Quay
Wattle Grove
Your email
*
Child's Date of Birth
*
DD slash MM slash YYYY
Your Message