Pupil Absence Request Form

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Pupil Absence Request Form

PLEASE NOTE: the school cannot authorise holidays in term time except in exceptional circumstances. Absences not authorised by the school or extended beyond the agreed return date may make parents liable to a Fixed Penalty notice from the local authority.

Email *

Name/s of child/children:

First day of absence (include time if leaving school early):

YYYY

If leaving school early, please give time of collection

Time

Date of first day back in school:

YYYY

Total number of school days

absent from school: *

Why are you requesting this absence? Please give reasons

Signed (parent/guardian) *

Date *

YYYY

Send me a copy of my responses.

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