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Holiday request
Please complete the form below outlining your request for time away from school for your child(ren). Please not that only in exceptional circumstances will requests be agreed.
* Indicates required question
Name of child(ren)
*
Your answer
Class(es)
*
R
Y1
Y2
Y3
Y4
Y5
Y6
Home address
*
Your answer
Dates of holiday (please include the first and last date of absence from school)
*
Your answer
Total number of days leave requested
*
Your answer
Reason for time being needed away from school
*
Your answer
Name of the person completing the form and your relationship to the child(ren)
*
Your answer
Date form completed
*
Your answer
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