Request to authorise absence from school due to exceptional circumstances
We expect every pupil’s attendance at school to be 100% unless there are exceptional or unavoidable reasons for absence. Parents do not have any legal entitlement to take their child on holiday or other absence for the purpose of leisure and recreation during term time. It is the Headteacher who decides whether a period of leave during term time will be authorised or not in line with legislation.

The Education (Pupil Registration) (England) Regulations 2006 (amended in September 2013) make it clear that Headteachers cannot grant any leave of absence during term time unless ‘exceptional circumstances’ exist.

Every request for leave of absence during term time will be reviewed on an individual basis with due consideration of the circumstances but the Headteacher can only grant leave of absence if they consider exceptional circumstances apply. If the exceptional circumstances are agreed, the Headteacher will determine the length of the absence to be authorised.

All requests for leave of absence should be made in advance and before any arrangements are confirmed or money committed. This form must be completed in full by the parent who intends to remove the pupil from school during term time.

Failure to make a request for a leave of absence in advance will result in the absence taken being recorded as unauthorised.

You are advised not to make any arrangements until your request has been considered.

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Parent/Carer Name *
Who is completing this form?
Parent/Carer Email *
Parent/Carer Mobile *
Child's Name *
If there is more than one child, please list them all here. There is no need to do separate forms.
Class *
If there is more than one child, please list them all here. There is no need to do separate forms.
Dates of absence (include first day and last day inclusive) *
How many days of school will be missed? *
Does your child have siblings at a different school, who you are also applying for a leave of absence? If so, please put their name(s) and school(s) details here.
This is to support school decisions when considering this leave of absence.
Please explain why you are applying for an authorised absence and the circumstances which make your application exceptional and why the leave cannot be taken within the normal 13 weeks annual holiday your child already has from school. *
If you are requesting authorisation to attend a specific event, please confirm the date of the event and explain your travel arrangements.
I am the parent/carer with whom the pupil normally resides. The information I have given on this form is correct. *
I would like to request the above absence. I understand that the school strongly advises against taking unnecessary absence during term time and accept that this may have a detrimental impact on my child/ren’s progress. I understand that a penalty notice may be issued if this request is denied and my child is absent during this period. I understand that a fine will be payable per child, per parent of £160 if paid within 28 days but reduced to £80 per child, per parent if paid within 21 days.  This is for the first penalty notice issued since August 19th 2024. For the second penalty notice issued since August 19th 2024, the amount if will be payable per child, per parent of £160, irrespective if paid sooner. For the third situation where a penalty notice could be issued since August 19th 2024, this will go straight to court, with the potential of a higher fine to pay.
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