Absence Request Form For Exceptional Circumstances

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Parents and Carers are reminded that authorising absence during term time is at the discretion of the Headteacher in line with the School's Policy. If permission is not given then the absence will be recorded as an unauthorised absence and the Local Authority may be informed.

*No absences will be authorised during SATS week or other assessment weeks in May/June

Child's Full Name and Class *

I am requesting the following leave (please give dates of leave requested and the total number of days absent) *

We are travelling to (Country) *

Reason for requesting absence in term time *

Name of Parent requesting leave and relationship to child *

E- Mail Address *

Date of Request *

YYYY

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