Application for Leave of absence

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As a Parent/Carer, you should fill in this form if you want to take your child out of school for any reason during term time.

- In line with Government Legislation with effect from 1st September 2013 Headteachers' have the discretion to grant leave, but will only do so in exceptional circumstances. If the headteacher grants a leave request it will be for them to determine the length of time that child can be away from school. This leave is unlikely, however, to be granted for the purpose of a family holiday.

- Parents can be fined for taking their child on holiday during term time without consent from the school.

Name of child *

Class *

Start date of proposed absence *

YYYY

End date of proposed absence *

YYYY

Number of days off *

Reason for proposed absence *

Date of completion of form

YYYY

Parents name *

Submit

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