Application for Leave of Absence During Term Time

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Please note the following and read the guidance on the school website before completing this form.

Under the Education (Pupil Registration) (England) (Amendment) Regulations 2013: Regulation 7 of the 2006 Regulations is amended to prohibit the proprietor of a maintain school granting leave of absence to a student except where an application has been made in advance and the proprietor considers that there are exceptional circumstances relating to the application.

Email *

Student Name *

Student Date of Birth *

YYYY

Student Registration Group *

First Date of Absence *

YYYY

Date of Return to School *

YYYY

Number of days absence REQUESTED from School

Reason for Absence REQUEST *

Name of Parent Completing the Form *

Name(s) of Sibling(s) at Other Schools Including the Name of the School

Name of Parent Student Normally Resides With (if different from above)

Parent Email Address *

Parent Phone Number *

Thank You!

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