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ST MARY'S CATHOLIC SCHOOL

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									                                                                             T MARY’S CATHOLIC SCHOOL
                                                                                   Cheltenham Road East
                                                                                            Churchdown
                                                                                             Gloucester
                                                                                               GL3 1HU

                                                                                   Tel 01452 714053 / 855305
                                                                                           Fax 01452 714207



REQUEST TO TAKE A CHILD OUT OF SCHOOL DURING TERM TIME


PLEASE REMEMBER
We are only able to authorise a maximum of five days holiday absence per child, per academic year, for holidays or
other non-essential purposes. Absence from school can seriously disrupt your child’s continuity of learning. Not
only do they miss the teaching provided on the days they are away; they are also less well prepared for lessons
upon their return. There is a consequent risk of underachievement, which together we must seek to avoid.

I would like to take my son/daughter ………………………………………… (Year:                      ) out of school during term time.

Dates – From ……………………………….…………………..to ……………………………….…………… ……..

The absence is requested because: …………………………………………………………………………………..

………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………..

Parent/Guardian Signature ………………….………..…………Name ………..………………………………………..



This form must be completed and returned to school in advance of any planned absence.
…………….……………………………………………………………………………………..
Dear Parent / Guardian,
Re: …………………………………………………….... (Child’s name) (Year …………)                               Current
                                                                                               Attendance
Further to your recent request for leave of absence.                                                   %

      Leave of absence of ………sessions (……… days) authorised

          between ………………………….and …….…………………….



       Leave of absence of ………sessions (……… days) not authorised

           between ………………………….and …….…………………………. will be marked as unauthorised. If a
child has more than 10 unauthorised absences in any academic year a referral may be made to the Education
Welfare Service.

Signed : …………………………………………. (Headteacher) Date: ……………………………..

Additional comments:




                               E-mail Address: admin@st-marys-churchdown.gloucs.sch.uk
                                 Web Site: www.st-marys-churchdown.gloucs.sch.uk

								
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