Student Leave Request Form

  • Please note leave will only be granted for extenuating circumstances, e.g. bereavement of an immediate family member or illness.
  • Please also note that fees are payable for the whole duration of your child’s absence. They may be paid before going on holiday or upon arrival.

If you have any queries please contact the Madrassa office on 01254 241175 between 5-7pm or send a WhatsApp message on this number 07483278954.

Jazakallahu khayr
Madrassa Office

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Child's Forename(s) *
Child's Surname *
Which class is your child currently in?  *
Teacher's Name
Leave Start Date *
MM
/
DD
/
YYYY
Leave End Date *
MM
/
DD
/
YYYY
Total Days Requested *
Reason for leave *
Name of Parent/Guardian *
Parent/Guardian Contact Number
Email Address *

PLEASE ENSURE YOU CHECK YOUR EMAILS AS THE OUTCOME OF THE LEAVE REQUEST WILL BE COMMUNICATED VIA EMAIL

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