Absence Form

Successful Learners

Confident Individuals

Responsible Citizens

CONTACT BARNHAM PRIMARY SCHOOL

Name of Child

Class

Year Group

First Date of Absence

Last Date of Absence

Date for Return to School

Number of School Days Absent

Reason for absence request, including why you believe your circumstances to be exceptional

Reason why the absence cannot take place during school holidays/ Inset Days

Have you checked the term dates for this year?

Yes No

Have you considered the impact upon learning for your child by being out of school?

Yes No

Have you considered the impact upon social connections for your child by being out of school?

Yes No

If you have a child or children at another school or schools, please detail their names and which school or schools they attend

Telephone