Leave of Absence Request Form

Leave of Absence Request Form

Taking your child out of school during term time may impact negatively on your child’s academic progress.

Pupil absence during term time willl be regarded as unauthorised. Please read the Local Authority leaflet which explains Penalty Notices issued for holidays during term time. This is available on request.

Leave of Absence Request Form

Name of child / children*
Date/s of birth*
Class/es*
Parent Email Address:*
Date of first absence*
Date of return*
Number of days requested*
Siblings at different schools attending*
Exceptional Circumstances for time out of school.*
Office Use Only: Headteacher Signature:
Office Use Only: Authorised / Unauthorised:
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Leave of Absence Request Form

Leave of Absence Request Form

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