holiday absence form by I5F6rC7C

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									                  Working in partnership to reach our potential

Wantage CE Primary School
Headteacher: Mr. Phil Hibbs
Newbury Street, Wantage, Oxon OX12 8DJ                  e-mail: office.3246@wantage-ce.oxon.sch.uk
Tel: 01235 762396 Fax: 01235 769462                     Website: www.wantageceprimary.co.uk


                  REQUEST FOR LEAVE OF ABSENCE (HOLIDAY DURING TERM TIME)

To:       Mr Hibbs

I request leave of absence be granted to ………………………………………………………..……….(name)

from ………………………………………………………………………………………………….……….(dates).

Please give reason for holiday during term ………………………………………………………………………

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

Signature of Parent/Guardian ………………………………………………………………...……………………
PLEASE NOTE
1.     Under the Education (Pupil Registration) Regulations 1995 absence for purpose of holiday is only authorised if
       request is granted before.
2.     Failure to request leave or refusal to grant leave will mean that the absence is unauthorised.
3.     When considering granting leave for holiday in term time, the school consider
       *duration of the proposed trip *whether the trip/event is rare
       *impact on the pupil’s education          *pupil’s attendance record              *family circumstances
4.     Under the above regulations, a maximum of 10 days may be authorised in any one school year unless in exceptional
       circumstances.
5.     Please return this form to The Headteacher at least 14 days before the planned holiday.




Dear Parents

Request for Leave of Absence

Name of Child:                                                            Class:

Dates:
…………………………………………………………………………………………………………………………
Thank you for completing the Request for Leave of Absence form. I am pleased to grant your request for
you to take your child out of school on the stated dates. The class teacher has been informed and the
absence will be recorded as authorised.

Best wishes


Mr P Hibbs
Headteacher

								
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