Year 7-11 Absence Form

Request for leave of absence during term time 2026-2027

Student Name* Form* Parent Name* Parent email* Requested date for start of leave*

Will your child be attending School prior to appointment?YesNo

If Yes : Collection from School Time - Please note that students in Years 7 - 11 must be collected by parent or nominated adult Date of return to School* Reason for requesting leave of absence* Please upload supporting evidence for this request No file chosen Full detail of request, e.g. appointment time, reason for appointment etc.*

A request for leave of absence (excluding medical appointments) will be considered and a response will be sent direct to the email address you have provided within 7 working days. All requests for leave of absence will be treated confidentially.

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The Liverpool Blue Coat School, Church Road, Wavertree, Liverpool, L15 9EE

0151 733 1407

office@bluecoatschool.org.uk

The Blue Coat School Liverpool

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