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Application form for a student leave of absence

Please read the information before completing this form.

For your request to be considered, the form must be completed at least two weeks before you plan to leave.

Please complete all sections of the form. A letter will be sent to you when the Head Teacher has considered the application to let you know if the absence has been authorised.

Please do not book any flight tickets etc until you have received confirmation
from school that leave has been authorised.
Applications for leave of absence
Guidelines

Beaumont Leys School follows government guidelines regarding leave of absence requests.

1. In line with the Government guidance, the school management and its governors are unable to authorise any term time absence, unless our view is that there are exceptional circumstances.

2. If permission is granted, photocopies of airline or travel tickets will be required by the school office before you travel. If your request has been agreed, failure to provide this information will mean that the request is no longer agreed and your child’s absence will be classed as unauthorised.

3. We may also request copies of other travel related documents from you. We will advise you if this is the case. Where we do not receive copies of documents requested, this is likely to mean that we will not authorise some or all of any absence your child has in relation to this request.

4. If permission is granted, pupils must ensure that they are up to date with their school work before they leave and in addition, it will be parents’/carers’ responsibility to ensure that their son/daughter makes up any missed work in his/her own time upon return.

5. The decision made by the Beaumont Leys School is final.

Please note:

If your child has unauthorised leave of absence you will either be issued with a Penalty Notice of £160 per parent per child, or, your case will be referred by the Local Authority directly to the Magistrates’ Court.
1.Name of student:(Required.)
2.Tutor Group:(Required.)
3.First day of absence:(Required.)
Please select the date...
4.Date of return to school:(Required.)
Please select the date...
5.Date of Request Form Submitted to School:(Required.)
Please select the date...
6.I request authorised absence for my above son/daughter for the following reason/s:(Required.)
7.Full Destination Address:(Required.)
8.Date you plan to travel:(Required.)
Please select the date...
9.Date you plan to return:(Required.)
Please select the date...
(Please note the application will not be considered without all the above information)

We request details of a friend or relative to be a point of contact. If you do travel, the person will notify us of any changes to your circumstances which may affect the date of your return. We may have to contact them in the event of your child not returning as expected:
10.Name of contact:(Required.)
11.Address of contact:(Required.)
12.Telephone number:(Required.)
13.Mobile:(Required.)
14.Please upload any related documents (E.g. flight tickets)
No file chosen
15.I confirm that I have read and understood the information above and the
guidelines.(Required.)
16.Name of person completing this form:(Required.)