Term Time Absence Application

Term Time Absence Application
To be completed by parent/guardian
Appointment for Part of the School DayAttending a FuneralReligious ObservanceWhole Day or Longer
Please use this form to request leave for part of the school day such as (but not limited to) medical appointments. Routine dental and optician appointments should be arranged outside of school hours.
Application for Term-time Leave of Absence to attend a funeral service.
Application for Term-time Leave of Absence for religious observance

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.
Pupils Name*

First NameLast Name
Pupils Form Group*
Mr/Mrs/Ms/Miss*
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Post CodeCountry
Phone Number

Area CodePhone 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

:HourMinutesAM/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

:HourMinutesAM/PM Option
Return

:HourMinutesAM/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.

Appointment for Part of the School Day