Request for Leave of Absence for Holidays
The following notes are based on the Education Act (1966) and the Education (Pupil Registration) Regulations (1995).
Holidays
Please complete the first part of the form overleaf and return it to school at least two weeks before the requested absence.
Alderman Payne Primary School - request for leave of absence form
Name/s of child/ren ______________________________________________
Proposed dates of children’s absence from school: _______________________
Reason why holiday is taking place during school time: _________________________
_________________________________________________________________
_________________________________________________________________
Signature of Parent(s) making the request : __________________ ___________________
Date of request: ___________________________________
For Office use only…………………………
Request refused ……………………………………… (Headteacher) ………………….. (Date)
Request approved …………………………………… (Headteacher) ………………….. (Date)
Reason for approval/refusal:
……………………………………………………………………………………………………………………………………………………………………………………………………
A COPY OF THIS FORM WILL BE COMPLETED AND RETURNED TO THE PARENT MAKING THE REQUEST.
E-mail: office@aldermanpayne.cambs.sch.uk Web: www.aldermanpayne.co.uk
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