St Monica's Catholic Primary School     Application for Pupil Leave of Absence during Term Time
To be completed by Parent/Carer.

Please note that Parents have no right to remove their child/ren from school for the purpose of a holiday. 

Parents may request permission for an absence in exceptional circumstances only.  The school requires proof of the exceptional circumstances in the form of flight details.   This must be emailed to office@st-monicas.hackney.sch.uk

Parents who remove their child/ren during term time, but make no request, may be subject to fixed penalty notice (FPN) issued by Hackney Education.
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Child's Name *
Class
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Date child will be absent from  *
MM
/
DD
/
YYYY
Number of school days your child will be absent for *
Date child is due to return to school  *
MM
/
DD
/
YYYY
Reason for leave of absence
Please email supporting evidence to office@st-monicas.hackney.sch.uk. You may also bring the evidence to the school office. Your application may be rejected if you do not provide supporting evidence.
 *
I understand that if my child/ren does not return to school on the return date above I risk losing my child's place at the school, and may also be subjected to a fixed penalty notice (FPN).  If I am delayed for any reason, I will contact the school and provide the reason.

Signed Parent/Carer
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