CANLEY VALE HIGH SCHOOL
STUDENT EARLY LEAVER NOTE
Please fill this form in to assist us with our legal requirements
Name: …………………………………….. Roll call class: …………………………
My son/daughter leaving early: ………………………………………………………(date)
due to …………………………………………………………………………………………….…………………

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(Please fill in the reason for leaving early)
Parent/Carer Signature ……………………………………......................... Date: ………………………………..