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Leave of Absence Form
Please provide details and the exceptional reason why the absence needs to be taken in term time
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* Indicates required question
Email
*
Your email
Child(ren) Name
*
Your answer
Class(es)
Your answer
Date Absence Begins
MM
/
DD
/
YYYY
Date Returning
MM
/
DD
/
YYYY
The reason why the absence needs to be taken during term time
*
Your answer
Does Your Child(ren) have any siblings
*
Yes
No
If yes, what school do they attend
Your answer
Parent's Name Completing the Form
*
Your answer
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