Please complete this form at least two weeks before the date of your holiday. The maximum statutory allowance in any one academic year is ten days. Your request may not be authorised if your child(ren)’s attendance is below expected levels. ← BackThank you for your response. ✨ Parent/Carer First Name (required) Parent/Carer Last Name (required) Email (required) Complete for each pupil going on holiday. Name of Pupil 1 (required) Class of Pupil 1 (required) Select one option Nursery Reception Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Name of Pupil 2 Class of Pupil 2 Select one option Nursery Reception Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Name of Pupil 3 Class of Pupil 3 Select one option Nursery Reception Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Dates for requested period of absence: From: (YYYY-MM-DD) (required) To: (YYYY-MM-DD) (required) SUBMITSubmitting form Δ