Application for Exceptional Absence

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Cheam Common Juniors' Academy, Kingsmead Avenue, Worcester Park, Surrey KT4 8UT
Principal: Miss S Gunner
Telephone: 020 8337 1844
Email: ccjoffice@leoacademytrust.co.uk

To be filled in by the parent/career.

Please note: The Principal will only, in exceptional circumstances, agree to an absence and there will be no more than 10 school days in a school year. Any absence in excess of that granted will be recorded as unauthorised. A pupil’s prior attendance record, stage of education and progress will be taken into consideration. (DfE Circular 10/99).

Email *

First Name *

Surname *

Class *

Name of sibling (if appropriate)

Sibling class:

First day of absence: *

YYYY

Until (return to school date): *

YYYY

Reasoning for absence: *

Number of days *

Will you be required to self-isolate upon your return (please give number of days)

Name of Parent/ Career completing form:

Date:

YYYY

Advice for Parents:

A copy of your responses will be emailed to the address you provided.

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