Leave of Absence Request Form

For planned absence from school, please complete all sections of the leave of absence request form below.

Absences from school will only be authorised in exceptional circumstances. The law gives no entitlement to parents to take their child on holiday during term time and fines for term time holiday absence are issued by North Northamptonshire Council.

Name of child(ren)*

Dates of Absence

First day of absence from school* Last day of absence from school* Number of school days missed*

Exceptional Circumstances

Explanation of exceptional circumstances to be considered:*

Your details

Name of person completing the form* Relationship to child(ren)* Email address*

Please send any supporting documentation to admin@sunnysideprimaryacademy.org

Sunnyside Primary Academy

Leave of Absence Request Form

Dates of Absence

Exceptional Circumstances

Your details