Notification of School Absence - Holiday Request
This form is for notification purposes only. Holidays during term time are no longer authorised by the school.  

Please be advised that unauthorised absence from school will result in parents being issued with a Fixed Penalty Notice (FPN).

It may take several weeks for the FPN to be issued. 

Please note, we do not respond to holiday requests directly as they are for notification purposes only. 


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Child's Name *
Child's Class *
First date of absence *
MM
/
DD
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YYYY
Return to school date *
MM
/
DD
/
YYYY
Total number of days absent *
I confirm that I understand that where 5 days holidays or more are taken, a Fixed Penalty Notice (FPN) will be issued.  *
Please provide your up to date address for our records.  *
Signed *
Relation to pupil *
Date *
MM
/
DD
/
YYYY
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