Leave of Absence Request

Pupil Details

Pupil Name*

First Last

Form Group

Reason for Absence*

Parent/Carer 1 Name*

First Last

Parent/Carer 1 Email*

Parent/Carer 1 Phone Number*

Parent/Carer 1 Signature*

Signatures can be electronic/typed.

Parent/Carer 2 Name*

First Last

Parent/Carer 2 Email*

Parent/Carer 2 Phone Number*

Parent/Carer 2 Signature*

Signatures can be electronic/typed.

Please note: If the absence is unauthorised, a penalty notice may be requested per parent per child.

Privacy Policy*

Please read our Privacy Policy to find out how we use your information.

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