Request for Leave of Absence for Exceptional Circumstances during Term Time
It is not advisable to take your child on a leave of absence during term time as this causes disruption to their
education. Schools must follow the law in this regard and may only grant leave in exceptional circumstances if
certain criteria are fulfilled.

The Pupil Registration Regulations (England) 2006 and the Education (Pupil Registration) (England)
(Amendment) Regulations 2013

* Leave of Absence in exceptional circumstances is authorised at the discretion of the Head teacher. (This is
not an automatic right of parents/guardians)
* Please do not book your leave of absence until authority is given.
* Each request for leave of absence will be considered individually, taking into account the circumstances of the
request and any supporting evidence provided.
* If the absence is approved by the Head Teacher you will be advised as to how many days the Head teacher
has approved for your child’s absence.
* If the school does not agree the absence and you take the leave without permission or your child is absent for
more than the agreed number of days the absence will be unauthorised.
* Leave of absence taken without the authorisation of the school may lead to your child(ren) being referred to
the Education Welfare Service and the possibility of statutory action and a fine.

In order for your application for absence to be considered, please complete below:
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Name(s) of Child(ren)
Class/Year
Dates of absence: From
MM
/
DD
/
YYYY
Dates of absence: To
Reason for request (Please provide as much information as possible)                                                          The exceptional circumstances for this request are:
Name of parent
Submit
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