Request for Absence during Term Time

Form from: Stanton St Quintin Community School

Taking your child out of school during term time may harm your child's academic progress.

Please note that schools may agree up to 10 days holiday absence in special circumstances, with consideration being given to the child's attendance, attainment and public examinations. Absences may only be authorised at the discretion of the Head Teacher, and must be made at least two weeks before the requested date, but no more than 9 months.

Circumstances which are notified to the school or Local Authority after a decision has been made by the Head Teacher will not be considered. Therefor please be certain to provide details of the special circumstances relating to your application below, and attach any supporting evidence.

Please refer to the schools Holiday Absence Policy on the school's website.

Child's Full Name.

Child's Class.

Child's Teacher.

First date of absence.

Date of return to school.

The special circumstances for this absence taken in term time are;

Please sign below

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