Application for exemption form school enrolment/attendance Extended Absence If you are human, leave this field blank. Compulsory Information - all fields must be completed Name of Student (in full) * Student's Date of Birth * Gender * Roll Class * Year Level * Parent/Guardian Address * Parent/Guardian Address Parent/Guardian Address Parent/Guardian Address Suburb Suburb State State Post Code Post Code Parent/Guardian Phone * Name of Parent/Guardian * Period of absence Illness Medical/Dental appointment Family/Social Holiday/Travel Details Start Date * End Date * This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Ecology Catholic Identity Pedagogy