APPLICATION FOR EXCEPTIONAL LEAVE OF ABSENCE FOR YOUR CHILD DURING SCHOOL TERM TIME
PLEASE READ:
This is an application form for you to request permission for your child to be absent from school during term time, which may be granted for exceptional circumstances ONLY. Before completing this form, please read these notes carefully:

Any absence during term time is proven to be very detrimental, as your child misses important lessons, creating ‘gaps’ in their understanding of key concepts and they find it difficult to catch up, potentially causing a serious impact on their academic development and attainment. Teachers use valuable time helping returning pupils catch up, depriving those who really need them. Children also find it difficult to manage friendships and the class dynamic when they have missed key school events at the beginning or end of term.

1 The Education (Pupil Registration) (England) (Amendment) Regulations 2013, state that you do not have the right to take your child out of school for family holidays during term-time. The educational needs of your child take priority at all times.

2 The law only allows the school to grant permission for leave in the event of exceptional circumstances. Your request may be refused if it is not agreed that the reason for absence is exceptional. So please do not book any travel tickets without getting the school permission first.

3 Family weddings, anniversaries, cheaper airline tickets, family reunions and children’s birthdays are not generally considered to be exceptional circumstances.

4 Visiting a relative who is unwell is also not normally a valid reason to disrupt your child’s learning – If that relative requires the care and support of adults this should ideally be only while your child remains attending at school.

5 You must apply for permission in writing beforehand, using this form. Please attach any documentary evidence that you feel will support your request.

6 If you take your child out of school without permission, you may be referred to the local authority, who may then prosecute you under the terms of section 444 of the Education Act 1996, or as an alternative, issue each parent with a Penalty Notice Fine. Penalty Notice Fines are issued at the rate of £60 per parent per child if paid within 21 days; this rises to £120 if paid within days 21-28; if unpaid after 28 days, then the matter may then be referred to court.

7 If you need to travel at short notice, or are delayed on your return journey, then you will need to supply copies of all booking and travel documentation to show the dates that bookings were made, the original travel tickets as well as any evidence of rescheduled travel documents. All of this information is required by the school if they are to reconsider.

8 If you have any children on-roll at another school, then permission from that school must also be requested and agreed.

9 As well as the points in paragraphs 7 and 8 above, we take into account exam and SATs dates, your child’s attendance and punctuality record, as well as their level of academic achievement or support needed around their learning in school.

10 If your request is approved and you leave earlier or return after the date agreed, the school reserves the right to record the entire period as unauthorised absence.
PLEASE SUBMIT THE COMPLETED APPLICATION FORM TO THE SCHOOL AT LEAST 4 WEEKS BEFORE INTENDED ABSENCE
Child's name *
Your answer
Child's class *
Your answer
Home Address *
Your answer
Reason for exceptional leave request *
Your answer
From date *
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YYYY
To date *
MM
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DD
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YYYY
Total number of days *
Your answer
Date your child will return to school *
MM
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DD
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YYYY
Your name *
Your answer
Your relationship to child *
Your answer
Email address *
The school will confirm the Headteacher's decision via email
Your answer
IMPORTANT INFORMATION
I apply for my child to be granted authorised absence from school for the exceptional reasons stated. I understand that if this is not agreed, then any leave subsequently taken will be treated as Unauthorised Absence and could result in the Local Authority issuing both parents/carers with a Penalty Notice Fine of £60 each, rising to £120 if not paid within the stated time.
Signature *
Once you sign and submit the form, you confirm that you have read and understood the 'IMPORTANT INFORMATION' above.
Your answer
Date *
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DD
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YYYY
Contact in the UK if you miss agreed return date *
Please give the name, address, phone number and email address of a contact in the UK. This must be someone the school can contact if your request is granted and you fail to return on the agreed return date.
Your answer
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