Application for Leave During Term Time

Parents/Carers must ask permission for their daughter/ward to be absent during term time, and it is at the Principal’s discretion to decide whether or not the absence will be authorised. The Principal may authorise leave during term time for exceptional circumstances only. If leave is taken without permission, or no application is made, parents/carers risk being issued with a Fixed Penalty Notice.
Parents/Carers wishing to apply for their daughter/ward to have leave from school should complete this form and return it to school for authorisation at least two weeks before the proposed leave.

Parent's/Carer's Section

Surname of daughter/ward* First name* Date of Birth (DD/MM/YYYY)* Year Group* Full name of parent/carer (1)* Address of parent/carer (1)* Postcode* Telephone No.* Full name of parent/carer (2) Address of parent/carer (2) Postcode Telephone No. Why is this request exceptional?* Departure Date* Return Date*

Would your daughter/ward miss any national tests or examinations?*YesNo

Has she had leave during term-time in the last 12 months? (If so, please give dates, reasons, and number of school days leave)*YesNo

Please tick to sign this form electronically.*Electronically signed

SCHOOL SECTION

Holiday in Term Time

Approved school days None approved school days Current attendance % Reason(s) Date discussed with parent/carer and date informed of approval/non-approval. Principal's signature Date

Junior School

Senior School

Sixth Form

Application for Leave During Term Time

Parent's/Carer's Section

SCHOOL SECTION

Cookie Policy