LEAVE OF ABSENCE REQUEST We are unable to authorise any holidays in term time unless there are exceptional circumstances. Any absence during term-time is not advised and permission is at the discretion of the Headteacher and the Governing Body. No absences will be authorised during SATs week.

Pupil Details

Name

Date of birth

Class

Address

Leave of Absence Details

Start date of requested absence

End date of requested absence

Return to school date

Total number of days requested*

Reason for leave of absence request:

Names and year groups of siblings attending St Leonard’s RC Comprehensive:

Name of parent/carer (please print)

Signature or parent/carer

Date

Attendance Information for Parents(School Use only)

Yours child’s % attendance for the past 12 months

Low Average Above average High

94% & below 94.1% - 95% 95.1% - 97% 97.1% & above

For School Use Only

Previous leave total this academic year

Given above information, is the absence approved?

YES NO

Signature of Headteacher

Date

Register code to be used for this absence

To Parent/Carer of ………………………………………………..

Your leave of absence request has been:

Authorised

Denied This request cannot be authorised because

o We cannot authorise holidays taken in term time, however there will be no fine imposed on this occasion.

o Please read attached letter. If you go ahead, your child’s absence will be recorded as unauthorised. School term dates are set well in advance and can be obtained from the school office or from the school website at www.st-godricsrc.durham.sch.uk