Sharmans Cross Junior School is committed to safeguarding and promoting the welfare of children and young people and
expects all adults to share this commitment
APPENDIX 2
SHARMANS CROSS JUNIOR SCHOOL
REQUEST FOR ABSENCE FROM SCHOOL
Child’s Name:
Class:
Proposed date (s) of absence
:
No. of Days
Requested :
No. of Days
Previously Taken :
Reason for wishing to take holiday in term time
(this needs to be completed please, before the
absence can be authorised):
Signed
:
Parent/Guardian
Date:
The following section is for school use only:
% attendance to date, this academic year
%
Authorised absence granted?
Yes / No
Signed: (Headteacher) Date:
C
G
H
O
P
R
V
Other authorised
circumstances
Family holiday (not
agreed)
Family holiday
(agreed)
Unauthorised
absence
Approved
sporting activity
Religious
observance
Educational
visit or trip
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