Leave Of Absence During Term Time
If you wish to take your child out of school during term time, and you consider that you have exceptional circumstances, please complete this form at least 14 days before the date you wish to remove your child from school.
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Pupil Name *
Year Group *
First day of absence *
MM
/
DD
/
YYYY
Date of return to school *
MM
/
DD
/
YYYY
Total number of school days missed *
Reason for absence *
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