Leave of Absence Request

Please fill in this form to request the absence of your child from school for any reason other than illness.

You will be contacted by school to advise you if the requested absence has been authorised.  This form does not provide consent to take your child out of school until authorisation has been given by the Headteacher.  If you have any further queries after submitting the form, please contact Mrs Tunstall at email: ctunstall@manorhouseschool.org.

Name of Child

Form

Name of Parent/Guardian

First Day of Absence:

Day return to School:

Provide Reasons below for the leave of absence request