St Michael's Primary School Traralgon

First Name *

Last Name

Email *

Phone

Child's name *

Child's class *

Reason for attending on-site *

Neither parent can work from home

I am not able to supervise my child at home and no other arrangements can be made

My child has been identified as a vulnerable child

Other

Brief explanation of reason *

I intend to send my child to school on the following days (please indicate morning and/or afternoon schooling) *

Signature *

Write your signature above the line

Notes & Documents