Blackfriars Primary

The details below indicate the form that will now need to be completed if you are intending to take your child out of school for an extended period of time.

If you contact the school we will arrange for this form to be sent to you via email or put into your child's bag.

Please try to give the school as much notice as possible if you are intending to remove your child from school for a holiday.

BLACKFRIARS PRIMARY SCHOOL

NOTIFICATION OF EXTENDED HOLIDAY

NAME(S) OF PUPIL(S) _____________________________ CLASS____________

______________________________ CLASS____________                                       

_______________________________ CLASS____________                                

_______________________________ CLASS____________                                

DESTINATION ______________________________________________________

REASON FOR VISIT _________________________________________________

DATE OF DEPARTURE _______________ DATE OF RETURN _______________

VERIFIED SMT _______________________  CT INITIAL ____________________

THE ABOVE NAMED CHILD(REN) WILL BE REMOVED FROM THE SCHOOL ROLL IF THEY DO NOT RETURN ON THE DATE STATED UNLESS THE HEAD TEACHER RECEIVES FURTHER NOTIFICATION.

PARENT’S SIGNATURE ________________________________ DATE _________

OFFICE USE

NO. OF DAYS REQUESTED ___________________________________________

ACTUAL RETURN DATE _____________________________________________

NO. OF SCHOOL DAYS MISSED _______________________________________