Request for Term Time Absence
Parents/Carers must ask permission for their child to be absent during term time, and it is at the Head Teacher’s discretion to decide whether or not the absence will be authorised.
The Head Teacher may authorise leave during term time for exceptional circumstances only; for example a funeral. Parents will be asked to provide evidence of the exceptional circumstance.
If leave is taken without permission, or no application is made, parents/carers risk being issued with a Penalty Notice or being prosecuted upon their return.

THIS FORM MUST BE COMPLETED AT LEAST 2 WEEKS BEFORE THE PROPOSED LEAVE
Sign in to Google to save your progress. Learn more
Child's Name *
Child's Class *
First day of absence from school *
MM
/
DD
/
YYYY
Date of return to school *
MM
/
DD
/
YYYY
Reason for request *
Name of Parent *
Date *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms