Roselands Primary School

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Absence Request Form

Privacy Notice - Roselands Privacy Notice

Email *

Notes to Parents/Carers:

The law does not grant parents/carers an automatic right to take their children out of school during term time. If the request is for an absence in term time you must have Parental Responsibility and be the parent/carer with whom the child normally lives. Permission MUST be sought in ADVANCE. If the circumstances relating to this request are considered exceptional and the absence is authorised by the school, the authorising of the absences will be conditional on the child/ren attending satisfactorily up to the date covered by this request.

Warning to Parents:

If the school refuses your request and the child is still taken out of school, this will be recorded as an unauthorised absence. A significant amount of unauthorised absence may make you liable to a Penalty Notice for each child, payable by each parent/carer, or the subject of court proceedings which could result in a fine of up to £2,500 and/or a term of imprisonment of up to 3 months.
Parents should note that in normal circumstances, current practice is that only ONE penalty notice will be issued to a parent relating to the absence of a particular child WITHIN A TWO YEAR PERIOD. Should a further period of unauthorised absence be recorded, then the parent/s will normally be summonsed to appear at a Magistrates Court.

Please state your name and address (please include all adults in your household who are taking the child/ren out of school for the absence) *

I/We wish to apply to have an absence authorised from and including the following dates: *

Name of child/ren and class/es *

Do you have a child/ren who attend at a different school that will also be absent? *

Yes

If you answered yes for the previous question, please state the child/ren's names and school/s

If the child/ren will not be with you, but be with another parent/carer during the absence, please provide their details (name, address and relationship to child/ren)

Please fully explain the EXCEPTIONAL CIRCUMSTANCES that you would like the school to consider. Please send any supporting documentation in to school that you would like be considered *

I understand that even if this absence request is authorised I may still receive letters of concern from either the school or Local Authority if my child/ren's attendance drops below a level that the school deems acceptable *

I agree to the above statement

I have read and understood the Avoidable Absence in Term Time information https://www.roselandsprimary.org.uk/attendance/ *

Yes

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