DIA Barsha - Secondary School Parent Leave Form
Late Arrival Request \ Early Leave Request \ Absence Notification Request
Student's Name
*
First Name
Last Name
Student's Grade Level
*
Please Select
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Student's Section
*
Please Select
A
B
C
D
E
F
G
H
Parent's Name
*
First Name
Last Name
Parent's Email Address
*
example@example.com
Leave for
*
Late Arrival
Early Leave
Absence Notification
Start Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
End Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Late Arrival
*
Medical Appointment
RTA - Driving Test/Lesson
Visa/Passport Renewal Appointment
Religious Ceremony
University Application Interview/Appointment
Sports Activity
Other
Reason for Early Leave
*
Medical Appointment
RTA - Driving Test/Lesson
Visa/Passport Renewal Appointment
Religious Ceremony
University Application Interview/Appointment
Sports Activity
Other
Absence Leave Note; Any reason indicated with an * requires documentation in order for the absence to be excused as per KHDA guidelines.
*
Illness/Medical (Day 1 or Day 2)
*Illness/Medical (Day 3 or more)
*Visa/Passport Renewal Appointment
*Medical Appointment
Religious/Cultural Observance
*University Visit/Interview/Appointment
*Approved Sporting Activity
Family Engagement
Other
As per our school policy, we request parents to please upload any documentation to support late arrival requests.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Early Leave Time
Hour Minutes
AM
PM
AM/PM Option
Additional Information.
Submit
Should be Empty: