Crosshall Junior Academy Trust

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ABSENCE FORM - COVID-19

Please let us know if your child is absent from school for reasons relating to COVID

Please enter your child's name:* Please enter your child's surname:*

Please select your child's class:*3CD3LJ3LG3KW4AG4JE4MH4BH5AC5CH5EV/JM5SF6MR6MHP6CH6DA/LM

Date of Absence*

Please let us know the following:*My child has symptoms and I'm taking them for a PCRMy child has symptoms, tested positive via an LFT and I'm taking them for a PCR testMY child has tested positive via a PCR test (please email results to office@crosshalljunior.co.uk)My child has no symptoms but had a positive LFT and I'm taking my child for a PCRMy child has no symptoms but a sibling/household member has tested positive via LFT/PCR and I'm taking my child for a PCR

Please enter date of symptoms starting if applicable (put NA if not)* Please enter date of PCR test (positive or negative results should be emailed to the school office (office@crosshalljunior.o.uk)* If your child has a positive PCR, please tell us where you think they contracted the virus from (your best estimate: school, home, clubs etc)*

Does your child receive Free School Meals (FSM)?*YesNo

If your child is on FSM and they have tested POSITIVE VIA A PCR TEST (not an LFT), we can provide a packed lunch to you. Please let us know if you would like us to do this and which sandwich filling your child prefers (Ham with butter, Ham without butter, Jam with butter, Jam without butter, Tuna with butter, Tuna without butter, Cheese with butter, Cheese without butter, Marmite with butter, Marmite without butter: Name of Parent/Carer completing this form:*

ABSENCE FORM - COVID-19
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Great North Road, Eaton Ford, St. Neots, Cambridgeshire, PE19 7GG
Tel 01480 475972 | Fax 01480 471995
Email office@crosshalljunior.co.uk