The Priory School Leave of Absence Request Form

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 Education (Pupil Registration)(England)(Amendment) Regulations 2013, state that Headteachers may not grant any leave of absence during term time unless there are exceptional circumstances. The Headteacher is also required to determine the number of school days a child can be away from school if leave is granted. 

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 issue of a Penalty Notice. 

Penalty Notices are issued by the Local Authority in accordance with Surrey County Council’s Code of Conduct. The Penalty Notice is £60, per child per parent/carer, if paid within 21 days or £120 if paid after 21 days but within 28 days. Failure to pay the Penalty Notice will result in the Local Authority considering legal proceedings against you in the Magistrates Court. 

The Headteacher will consider the reasons for the request carefully and will notify you of the decision. For further information, please refer to our School Attendance Policy. 

- The application must be made in advance by the parent(s)/carer(s) that the child normally resides with. 

- If Leave of Absence is granted please contact the school to discuss measures to minimise the impact of the absence on your child’s academic progress. It is imperative that they make every effort to catch up with missed work. 

- Please complete a Leave of Absence form for each child. 

- Please remember that every day of attendance really does matter.

The Education (Pupil Registration) (England) Regulations 2006 as amended by Education (Pupil Registration) (England) Regulations 2013 state: 

1. Head Teachers shall not grant any leave of absence during term time unless: 
A) An application has been made in advance, by the parent with whom the child normally resides AND 
B) They consider there to be exceptional circumstances relating to the application. 

2. The Head Teacher must be satisfied that exceptional circumstances warrant the granting of a leave of absence. 

3. The Head Teacher can determine how long an absence should be and any additional absence will not be authorised.

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Email *
Name of Student *
Student Year group *
First date of proposed absence *
MM
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DD
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YYYY
Last date of proposed absence *
MM
/
DD
/
YYYY
Expected date of return to school *
MM
/
DD
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YYYY
Total number of school days requested *
Full name of person requesting the leave *
Address *
Email address *
Contact number *
Parental responsibility *
Please indicate the reason(s) of exceptional circumstances and provide evidence wherever possible.
 *
Has your child got any examinations or controlled assessments within this period?
 *
Has your child had a previous record of poor attendance or Holiday Penalty Notice?
 *
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