JOHN COLET SCHOOL APPLICATION FOR LEAVE OF ABSENCE  


This must be submitted at least four school weeks before the proposed absence.

I request permission from the School’s Governing Body for my child to be granted Leave of Absence as detailed below:

Sign in to Google to save your progress. Learn more
Email *
Student's Name: *
Tutor Group *
Total number of days absent from school (if part day please detail drop off / collection time) *

From: First day of absence 

*
MM
/
DD
/
YYYY
To: Last day of absence
*
MM
/
DD
/
YYYY

The reason for the request is (please complete the appropriate section):

*
Please provide a full explanation for the reason for the request for leave in term time and submit evidence (where relevant) below if you have Google mail or to attendance@johncolet.co.uk:
*
*
I can confirm that the information that I have given above is correct and has no factual omissions. I understand that any authorised absence may be unauthorised at a later date if it is found that I provided inaccurate information; this may jeopardise any future Leave of Absence requests.
Name of person completing form *
Relationship to student *
Date *
MM
/
DD
/
YYYY
Penalty Notice for school absence

Where term time absence is refused, The John Colet School may contact the County Attendance Team who may issue a penalty notice.  This is in line with Section 444 of the Education Act, Local Authority guidelines and agreed School Policy.  Please note that information regarding term time holidays is available within the school’s attendance policy and has been agreed by governors.

The penalty notice may be issued at a fine of £60 per parent/carer, per child if paid within 21 days.  This would rise to £120 per parent/carer, per child, if paid between 21 in 28 days and could lead to further court proceedings if unpaid.

Parental Responsibility

Please note that, where appropriate, a copy of this application and response will be sent to anyone with parental responsibility for this child who does not live at the child’s current address. 

A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of John Colet School. Report Abuse