Leave From Learning Request April24>

Form from: St Michael and All Angels

Education Pupil Registration England Amendment Regulations 2013 came into force on 1st September 2013 stating that Head Teachers CANNOT grant leave of absence during term time unless there are exceptional circumstances.

The 2007 Regulations state that from 1st September 2013, parents may have to pay a fine of between £60 to £120.
Absence will not be authorised where attendance is lower than 95% or where the absence would take attendance below 95%.
If you would like to request a Leave from Learning complete the following and submit.

Childs name

Reason for request

Last day in school

Date returning to school

Number of school days absent

Parent/Carers Signature

signature _{please use your mouse or finger sign above}

TO BE COMPLETED BY STAFF

Percentage attendance prior to absence ..................... following absence .......................

Number of previous requests ..........................................................................................................

Age of child when absence would occur ....................................................................................

Timing of the proposed absence (significant events) .............................................................

Attendance pattern in the current academic year (lateness, medical appointments, etc) .....................................................

Attendance pattern in the previous academic year (lateness, medical appointments, etc) ...................................................

Attainment: Reading ............................ Writing .............................. Maths ................................

Progress: Reading ........................... Writing ............................. Maths ...............................

Previous absence requests ....................................................................................................................

Any other significant information .......................................................................................................

Discussion notes ........................................................................................................................................

..........................................................................................................................................................................

Authorised / Unauthorised ................................................................................................................