Term Time Leave Request

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Please use this form to log your request to take your child out of school during Term Time.
PLEASE NOTE: Completing this form DOES NOT automatically approve your request.

We strongly advise you do not take your child out of school during term time, but are aware that there are some circumstances that cannot be avoided.

Please note that completion of the request form does not guarantee approval for the term time absence. You will be notified by the school if your request has been approved. As a school we are asked to inform you that, in line with the London Borough of Newham’s Policy, unauthorised absences may be subject to a penalty notice fine of £60 payable per parent, per child, increasing to £120 each, if it is not paid within 21 days. If this fine is not paid within 28 days this may lead to court proceedings.

In order for us to consider your request, please ensure you complete the below form with all details required and all of the requested evidence.

If you do not have an email or letter from us that approves your request before you go, your child's absence will be unauthorised.

If you are requesting leave for multiple children at Eastlea, please complete a form for each child individually.

Email *

PUPIL INFORMATION

Pupil Forename *

Pupil Surname *

Year Group *

Form Group

PARENT INFORMATION

Parent Salutation *

Parent Forename *

Parent Surname *

Parent Contact Number *

Parent Contact Email *

NATURE OF ABSENCE

Please state the reason you are requesting leave of absence from school *

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