Bradshaw Primary School

Planned Absence

Please complete the form at least two weeks in advance if you intend to take your child out of school during term. Note that planned absences are only authorised under exceptional circumstances at the discretion of the Head Teacher.

*Please note, paper copies are available from the school office upon request.

Please complete all fields marked (*)

Your first name *

Your last name *

Your email *

Relationship to Pupil *

Pupil's Name *

Year Group *

Class Teacher *

Home Address *

Phone Number *

Dates your child will be absent from school *

Date of return to school *

Why is this absence exceptional? *

I confirm that the information I have given is true. *

I understand that I must ensure my child attends school regularly and that failing to do so is a criminal offence which may result in legal proceedings being taken against me, either through a Penalty Notice or by prosecution in the Magistrates' Court. *