Leave of Absence Request Form

Bywell CE (C) Junior School
Learning Together – Growing Together
Headteacher
Ms Z Adam
Bendigo Road
Dewsbury
West Yorkshire
WF12 7LX
Telephone/Fax
01924 460666
Email
[email protected]
Website
www.bywelljuniorschool.co.uk
Application for Leave of Absence
The law states that Parent/Carers do not have the right to take their child out of school for holidays during term time.
IN EXCEPTIONAL CIRCUMSTANCES however, the Headteacher can authorise a period of absence in the
academic year, usually 10 days. This form should be completed and signed by the Headteacher BEFORE the
holiday; otherwise an ‘unauthorised absence’ will be recorded. Where the Headteacher decides that authorisation
cannot be given but the absence still occurs, consideration will be given to the issuing of a PENALTY NOTICE in line
with Kirklees Code of Conduct. Please note permission will not be granted for Year 6 during test periods which
occur in the month of MAY.
Child’s Name
Class
Dates of application for holiday
From:
To:
Total Days:
Reason for Holiday being taken in term time.
Signed Parent/Carer
Date
Office use only
Attendance%
Authorised/Unauthorised
Current Year _____%
Previous Year _____%
Signed Headteacher
Date