Application for leave of absence for exceptional circumstances, All-through

Application for leave of absence for exceptional circumstances

Please read the following guidance carefully.


As parents, you have a legal responsibility to ensure your child’s attendance at school.  During the academic year, pupils are at school for 190 days and at home for 175 days.


Please be aware that the School Attendance (Pupil Registration) (England) Regulations 2024 state that Headteachers may not grant any leave of absence during term time unless there are exceptional circumstances. 


Please complete and submit this form if you want the Headteacher to consider your request for your child’s leave of absence for exceptional circumstances. We may ask for proof to validate your request.


 Unauthorised absence of 5 days or more will result in the following action being taken:


  1. If you have not incurred a penalty notice relating to this child/children since 19 August      2024, then the penalty notice will be charged at the rate of £160.00, per parent/carer per child, if paid within 28 days. This will be reduced to £80.00 if paid within 21 days of receipt of the notice. Failure to pay the Penalty Notice will result in Surrey County Council considering legal proceedings against you in the Magistrates Court.


  1. If you have incurred a penalty notice relating to this child/children since 19 August 2024, the rolling 3 year period will be activated from the date of the first penalty notice and the second penalty notice will be charged at the flat rate of £160.00, per parent/carer per child, if paid within 28 days. There will be no reduction for payment within 21 days. Failure to pay the Penalty Notice will result in Surrey County Council considering legal proceedings against you in the Magistrates Court.


  1. If you have incurred 2 penalty notices relating to this child/children in the rolling 3 year period since the first penalty notice was issued, then you will NOT receive a third penalty notice – Surrey County Council will have no option but to consider a prosecution, per parent/carer per child, in the Magistrates Court under s 444 Education Act 1996.



The Headteacher will consider the reasons for the request carefully and will notify you of the decision. In the absence of a decision, parents/carers cannot assume that permission for the absence has been given.

For further information, please refer to our School Attendance Policy.



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Email *
Name of parent requesting absence *
Address of parent requesting absence *
First name of child: *
Surname of child: *
Year Group
*

Why are you requesting the leave of absence?

Please explain the reason AND the circumstances (e.g. funeral and relationship).

 *
Start date
 *
MM
/
DD
/
YYYY
End date *
MM
/
DD
/
YYYY

Number of school days:

 *
If part of a day please tell us what time you need to collect your child and their return time. (Mark N/A if you are requesting full days). *

Has your child already had leave of absence in this school year? 

*
If YES, please give dates and details:
Please give details of children at other schools (name of school, school year) *
Signed (parent/carer):
 *
A copy of your responses will be emailed to the address you provided.
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