Student Holiday Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Taking your child out of school during term time may harm your child's academic progress.

Headteachers may not grant any leave of absence(Holiday) during term-time, unless there are exceptional circumstances. Absences may only be authorised by the Headteacher.

Please visit the Wiltshire Council website which provides information about Penalty Notices www.wiltshire.gov.uk/schools-learning-attendance-behaviour.

The completed application must be submitted at least two weeks before the first day of absence.

Email *

Student's Name *

Option 1

Clear selection

Tutor Group *

Date of Birth: *

YYYY

Number of days requested? *

Date of first day of absence: *

YYYY

Date of return to school: *

YYYY

Reason for requisition Leave of Absence in Term Time:

Circumstances that are notified to the school or Local Authority after the Headteacher has made a decision may not be considered. Therefore, please be certain to provide details of the exceptional circumstances relating to your application below and send any supporting evidence to admin@trafalgar.wilts.sch.uk

I confirm that I have read the Local Authority leaflet explaining Penalty Notices issued for unauthorised holidays during term time. *

Yes

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Trafalgar School at Downton. Report Abuse

Forms