Leave of Absence Request Form

Form from: Florendine Primary School

To the Headteacher of Florendine Primary School I request consideration for the leave of absence for the following pupil.

Pupil Name

Class

Start Date

End Date

The exceptional circumstances and reason for this absence are:-

I have the following other children at Florendine that will be absent:-

Once returned, this form will be sent to the Headteacher for consideration via email and a further email will be sent with a letter regarding the decision.

Parent Name

Please sign below

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

Date completed

Please review the attached pdf, Attendance Letter, before submitting any request. Many thanks.

Attachments:

Attendance Letter September 2024.pdf