Request for Absence from Learning
1.
Name of child
Required
2.
Child's Date of Birth
Required
3.
Year Group
Required
4.
Class
Required
5.
Pupil's full address and postcode
Required
6.
First date of absence
Required
7.
Last date of absence
Required
8.
Date of return to school
Required
9.
Number of school days absent
Required
10.
Reason for request including why you believe your circumstances to be exceptional
Required
11.
Full Name of person making the request
Required
12.
Relationship to child
Required
13.
Preferred contact email address
Required
14.
Date of request
Required
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