Someries Infant School and Early Childhood Education Centre's Application for Term-time Leave of Absence

1
Your child's name* This field is required.
First Name
Last Name
2
Your child's class* This field is required.
Please Select
Please Select
Windsor
Lancaster
Warwick
Gosford
Tintagel
Edinburgh
Durham
Cardiff
York
The Compass
The Link
The Lighthouse
3
What does this Application for Term-Time Leave of Absence relate to?* This field is required.
Holiday
Respite care for a Looked After Child
Bereavement (attendance of funeral)
Other
4
Please provide full reason(s) for this applications for term-time leave* This field is required.The Head Teacher will only grant a leave of absence to pupils during term time if they consider there to be ‘exceptional circumstances’. A leave of absence is granted at the Head Teacher’s discretion, including the period the pupil is authorised to be absent. We define ‘exceptional circumstances’ as being of unique and significant emotional, educational or spiritual value to the child, which outweighs the loss of teaching time.
Huge
Large
Normal
Small
Ok
Ok
5
Please upload flight details of holiday that has been booked
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
6
Start date of your term-time leave of absence (the first date your child will be absent)* This field is required.
Date
Day
Month
Year
7
End date of your term-time leave of absence (the last date your child will be absent)* This field is required.
Date
Day
Month
Year
8
What date will your child return to school?* This field is required.
Date
Day
Month
Year
9
How many days leave are you requesting in total?* This field is required.
Number of days
10
Your name* This field is required.
First Name
Last Name
11
Your email address* This field is required.The school's response to this application will be sent to this email address.
example@example.com
12
Date of submission* This field is required.
Date
Day
Month
Year
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Hour
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Minutes
AM
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PM
13
Please verify this submission.* This field is required.
Should be Empty: