Sixth Form Term Time Absence Application x

Sixth Form Term Time Absence Application
To be completed by parent/guardian
Leave Required

One Full Day or LessMore than One Full Day
Reason for request

AppointmentAttending a FuneralReligious ObservanceOther Exceptional Circumstances
Please use this form to request leave for part of the school day for medical, orthodontist, or counselling appointments only. Routine dental and optician appointments should be arranged outside of school hours. For any other appointment please selecet the "Other Exceptional Circumstances".
Application for Term-time Leave of Absence to attend a funeral service and UK travel if required. To attend a funeral abroad please return to the form for "More than One Full Day" above.
Application for Term-time Leave of Absence for religious observance - for one day only

Schools must treat absence as authorised when it is due to religious observance. The day must be exclusively set apart for religious observance by the religious body to which the parents belong. Where necessary, we will seek advice from the relevant religious body about whether it has set the day apart for religious observance..
Application for Term-time Leave of Absence

Regular attendance is an important factor in your child’s performance at school. Please think carefully before deciding to request leave of absence. Please note that leave of absence is not a right. The Head may only grant leave of absence in exceptional circumstances.
Other Exceptional Circumstances
Pupils Name*

First NameLast Name
Pupils Form Group*
Parents Name*

First NameLast Name
Mr/Mrs/Ms/Miss*
Address

Street Address

Street Address Line 2

CityState / Province

Post CodeCountry
Phone Number
E-mail*

Appointment for Part of the School Day

Request for Absence
Date of absence*

DayMonthYear
To attend appointment at *
Applications which do not state the location of the appointment will be rejected
Appointment Time

Hour Minutes

AM/PM Option
Reason for appointment (if not medical or orthodontal)
If collecting your son/daughter from school or returning them to school after an engagement, please specify the times below. Please note students are expected to wait at reception for collection and must sign out. On return, students go straight to their lesson unless during break, lunch or assembly where they must sign in.

Evidence of any appointment should be available to the school if requested.
Collect

Hour Minutes

AM/PM Option
Return

Hour Minutes

AM/PM Option

Attending a Funeral

Request for Absence
Date of absense*

DayMonthYear
To attend a service marking the death of*
Name of deceased
Relationship to pupil
(mother, father, grandad...)
Usually, we will only grant leave to attend services for immediate relatives (Grandparents, Parents and siblings).
If the deceased is a more distant relative or friend, please give brief details:

Religious Observance

Request for Absence
A day’s leave of absence for religious observance may be requested for a day when the pupils’ parents would be expected by the religious body to which they belong to stay away from employment in order to mark the occasion.

Parents are not entitled to take their children out of school to attend religious festivals which religious bodies mark without expecting families to take time off work or school.
Date of absense*

DayMonthYear
For the observance of*
to be held at
(name of religious venue where you will be observing the day)
Please forward a letter from your religious body indicating that they expect you to stay away from employment in order to mark the occasion.

Exceptional Circumstances

Request for Absence for more than one day.
From*

DayMonthYear
To*

DayMonthYear
Exceptional circumstance*

(Reason for reques)0/50
Exceptional circumstance continued....
(Reason for reques)
Address where we will be staying

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
I/We understand that if leave is agreed:
- If travelling abroad, I / we will supply a copy of the return travel documentation.
- I/ we will supply the name and phone number of a contact whilst abroad.
- If I/ we do not return a the agreed time; I/ we am/are aware that I/ we may be issued with a penalty notice. If I do not pay the fine, the case may be referred to Court which could result in a fine up to £1000 per child and a criminal record.
- In exceptional circumstances penalty notices may be issued and cases may be taken straight to Court.
If more than 1 adult has parental responsibility please add their details here:
Parent/ Carer Name

First NameLast Name
DOB
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Other Exceptional Circumstances

Request for Absence for one day or less.
Date*

DayMonthYear
Exceptional circumstance*

(Reason for reques)0/50
Further relevant information
(Reason for reques)
Should be Empty:

Sixth Form Term Time Absence Application

Appointment for Part of the School Day

Attending a Funeral

Religious Observance

Exceptional Circumstances

Other Exceptional Circumstances