Application for Pupil leave of absence from School during term Time
Important Information for Parents – please read before completing this form
We expect every pupil’s attendance at school to be 100% unless there are exceptional or unavoidable reasons for absence. Parents do not have any legal entitlement to take their child on holiday during term time. It is the Headteacher who decides whether a period of leave during term time will be authorised or not in line with legislation. The Education (Pupil Registration) (England) Regulations 2006 (amended in September 2013) make it clear that Headteachers cannot grant any leave of absence during term time unless ‘exceptional circumstances’ exist. Every request for leave of absence during term time will reviewed on an individual basis
with due consideration of the circumstances but the Headteacher can only grant leave of absence if they consider exceptional circumstances apply. If the exceptional circumstances are agreed, the Headteacher will determine the length of the absence to be authorised. All requests for leave of absence should be made in advance and before any arrangements are confirmed or money committed. This form must be completed in full by the parent who intends to remove the pupil from school during term time. Failure to make a request for a leave of absence in advance will result in the absence taken being recorded as unauthorised.
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Email *
Full name of child/ren *
Leave requested from *
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Leave requested until *
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Total number of School days absent *
Reason for application *
I would like to request the above absence. I understand that the school strongly advises against taking unnecessary absence during term time and accept that this may have a detrimental impact on my child/ren’s progress. I understand that a penalty notice may be issued if this request is denied and my child is absent during this period. I understand that a fine will be payable per child, per parent of £120 if paid within 28 days but reduced to £60 per child, per parent if paid within 21 days. Name of parent/carer below.  *
Date of application *
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SCHOOL USE ONLY Date request returned to parent/carer
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SCHOOL USE ONLY Child/ren current attendance
SCHOOL USE ONLY Your request for leave of absence from school during term time has been considered and has been
Signature of Headteacher
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