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APPLICATION
FOR LEAVE OF ABSENCE DURING TERM TIME
Attached
is an application form for you to request permission
for your child to be absent from school to
take part in a family holiday. Before completing
the application form, please read these notes carefully:
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If
you wish to take your child on holiday during
term time, you must apply for permission
in writing using the attached form. Permission
for authorised leave of absence may be granted
for holidays totalling no more than two weeks
in any school year, unless there are very
exceptional circumstances.
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There
are certain times of the year when a child
may experience problems because of missing
school. These include examination periods,
at the time of starting a new school and
at the start of a new school term. In
deciding whether to authorise your child’s
absence and give permission for a holiday
in term time, the school will take these
and other factors into account.
Having
read these notes, if you still wish to apply for a leave
of absence for your child to accompany you on holiday
during term time then please complete the application
attached. This form should be returned to your
child’s school as far in advance of the proposed
holiday as possible.
Issued
by Nottinghamshire Education Welfare Service

Print Form
APPLICATION
BY PARENT/CARER FOR CHILD’S LEAVE OF
ABSENCE FROM SCHOOL DURING TERM TIME
Pupils
Name ……………………………………. Tutor
Group/Class
Home
Address …………………………….........................................
………………………………………………………………………..
I
wish to apply for my child to be absent from
school during the following dates:
Date
of last day at School ………………… Date
of return to school …………..
Total
number of days missed ……….
Reason
for absence from school ……………………………………………………
……………………………………………………………………………………….
……………………………………………………………………………………….
I
make application for my child named above
to have authorised absence from school for
the reasons stated. I
understand that if this is not agreed then
any absence will be treated as unauthorised
and may lead to the issue of a Penalty Notice
or a Summons for irregular school
attendance.
Name
of Parent/Carer making application …………………………………………….
Signed ……………….........................
Date ……………………………………………
PLEASE
RETURN COMPLETED APPLICATION FORM TO YOUR
CHILD’S SCHOOL GIVING AT LEAST 4 WEEKS
NOTICE OF INTENDED ABSENCE
For
Office Use
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Holidays
already taken
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%
Attendance
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Authorised
by Headteacher
…………………………
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