Application for leave of absence

Please read carefully

Changes to the Education (Student Registration) (England) Regulations 2006, implemented from 1st September 2013, make clear that headteachers/principals may not grant any leave of absence during term time unless there are exceptional circumstances. In exceptional circumstances, when leave of absence is granted, the Headteacher/principal will determine the number of school days a child or young person can be away from school. A leave of absence is granted entirely at the headteacher/principal’s discretion.

Applications for Leave Of Absence (LOA) will be considered individually, taking into account the specific facts and circumstances and relevant background context behind the request.

Applications must be made using only this form, at least two weeks in advance of the date requested. Please ensure all sections of the form are completed fully to allow us to consider your application in it's entirety. Notification of outcomes of applications will be received in writing, 7 days after submission.

Chester international school accepts no responsibility for any loss of learning or progress as a result from a term-time absence.

Should an unauthorised leave of absence be of duration of 10 consecutive school sessions (ie five school days) or more, on the request of the Head Teacher/Principal or School Governing Body, the local authority will issue a Fixed Penalty Notice (FPN) to each of the child’s parents/carers. More information on Fixed Penalty Notices (FPNs) can be found at the end of this form.

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Name of Parent/Carer applying for LOA:

Email address:

Child 1

Name:

Year group:

Child 2

Name:

Year group:

Child 3

Name:

Year group:

Leave of absence details

Reason for request of leave of absence:

Wedding, funeral or graduation of immediate family member

Participation in a sporting event at county / national level

Participation in a theatre production (license granted)

Religious ceremony

Illness / medical related

Other

Please provide full background in relation to your request and why you feel the request can be classed as an'exceptional circumstance':

Please detail all evidence that you have to support your application:

File upload (optional):

I am aware of the importance of attendance at school and I have explained this to my child/children. I appreciate that all absences should be avoided but I wish to respectfully request my child/children to be granted leave of absence for the dates below.

First date of absence:

Last date of absence:

Total number of school days missed:

Declarations

I understand that the school strongly advises against taking unnecessary absence during term time, and accept that this may have a detrimental impact on my child/children’s progress. I commit to make sure my child/children catch up with any work that is required of them.

I, parent/carer, confirm that all relevant information relating to the application for authorised leave of absence has been stated and included in this document. I understand that failure to provide all related information may result in my application being unsuccessful. Each application is considered once, based only on the information provided in this application.

I understand that my application will be considered in line with the school's attendance policy, following Government guidelines. If my application is not authorised and I proceed to remove my child from school for any period of time, it will lead to unathorised attendance coding, which could lead to a possible legal fine.

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