49 questions
This form is for parents to request permission to take their child out of school for a specific reason.
Back Preview Get SCROLL to use this templateName | Text of question | Type of answer | Further notes | Data source | Mandatory? |
---|---|---|---|---|---|
pupil_forename | Forename | Text (single-line) | CBDS | Yes | |
pupil_middle_name | Middle name(s) | Text (single-line) | Optional | CBDS | |
pupil_surname | Surname(s) | Text (single-line) | CBDS | Yes | |
pupil_class | Class name | Text (single-line) | CBDS | Yes | |
pupil_teacher_firstname | Teacher's first name | Text (single-line) | CBDS | Yes | |
pupil_teacher_surname | Teacher's surname | Text (single-line) | CBDS | Yes | |
absence_from | Absence from | Date | Yes | ||
number_sessions_from_date | How many sessions will your child miss on this date? | List of choices | Select 1 for afternoon session and 2 for morning and afternoon sessions | Yes | |
absence_to | Absence to | Date | Yes | ||
number_sessions_to_date | How many sessions will your child miss on this date? | List of choices | Select 1 for morning session and 2 for morning and afternoon sessions | Yes | |
number_siblings | How many siblings are applying for the same leave of absence? | Number | If there are no siblings applying for absence please enter 0 | Yes | |
sibling1_forename | Forename | Text (single-line) | CBDS | Yes | |
sibling1_middle_name | Middle name(s) | Text (single-line) | Optional | CBDS | |
sibling1_surname | Surname(s) | Text (single-line) | CBDS | Yes | |
sibling1_class | Class | Text (single-line) | Yes | ||
sibling1_teacher_firstname | Teacher's first name | Text (single-line) | CBDS | Yes | |
sibling1_teacher_surname | Teacher's surname | Text (single-line) | CBDS | Yes | |
sibling2_forename | Forename | Text (single-line) | CBDS | Yes | |
sibling2_middle_name | Middle name(s) | Text (single-line) | Optional | CBDS | |
sibling2_surname | Surname(s) | Text (single-line) | CBDS | Yes | |
sibling2_class | Class | Text (single-line) | CBDS | Yes | |
sibling2_teacher_firstname | Teacher's first name | Text (single-line) | CBDS | Yes | |
sibling2_teacher_surname | Teacher's surname | Text (single-line) | CBDS | Yes | |
sibling3_forename | Forename | Text (single-line) | CBDS | Yes | |
sibling3_middle_name | Middle name(s) | Text (single-line) | Optional | CBDS | |
sibling3_surname | Surname(s) | Text (single-line) | CBDS | Yes | |
sibling3_class | Class | Text (single-line) | CBDS | Yes | |
sibling3_teacher_firstname | Teacher's first name | Text (single-line) | CBDS | Yes | |
sibling3_teacher_surname | Teacher's surname | Text (single-line) | CBDS | Yes | |
sibling4_forename | Forename | Text (single-line) | CBDS | Yes | |
sibling4_middle_name | Middle name(s) | Text (single-line) | Optional | CBDS | |
sibling4_surname | Surname(s) | Text (single-line) | CBDS | Yes | |
sibling4_class | Class | Text (single-line) | CBDS | Yes | |
sibling4_teacher_firstname | Teacher's first name | Text (single-line) | CBDS | Yes | |
sibling4_teacher_surname | Teacher's surname | Text (single-line) | CBDS | Yes | |
sibling5_forename | Forename | Text (single-line) | CBDS | Yes | |
sibling5_middle_name | Middle name(s) | Text (single-line) | Optional | CBDS | |
sibling5_surname | Surname(s) | Text (single-line) | CBDS | Yes | |
sibling5_class | Class | Text (single-line) | CBDS | Yes | |
sibling5_teacher_firstname | Teacher's first name | Text (single-line) | CBDS | Yes | |
sibling5_teacher_surname | Teacher's surname | Text (single-line) | CBDS | Yes | |
sibling6_forename | Forename | Text (single-line) | CBDS | Yes | |
sibling6_middle_name | Middle name(s) | Text (single-line) | Optional | CBDS | |
sibling6_surname | Surname(s) | Text (single-line) | CBDS | Yes | |
sibling6_class | Class | Text (single-line) | CBDS | Yes | |
sibling6_teacher_firstname | Teacher's first name | Text (single-line) | CBDS | Yes | |
sibling6_teacher_surname | Teacher's surname | Text (single-line) | CBDS | Yes | |
absence_reason | Please explain why you are applying for an authorised absence and the circumstances which make your application exceptional and therefore the leave cannot be taken within the normal school holiday period. If you are requesting authorisation to attend a specific event please confirm the date of the event and explain your travel arrangements. | Text (multi-line) | Yes | ||
declaration | Please confirm all the above by ticking the box below. | List of choices | Yes |