HOME PAGE Oldswinford C. E. Primary School Web Site
| If you intend to take your child out of school for a holiday please copy and complete this form. Take it to the School Reception Office or send it to school with your child. Thank You. This form is also available on request from the School Reception Office. |
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Dudley MBC Education Services |
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LEAVE OF ABSENCE OF SCHOOL CHILD ON HOLIDAY |
| To the Head Teacher of : Oldswinford C. E. Primary School |
| I request that my son/daughter .......................................... |
| of [home address] ........................................................... |
| be granted leave of absence from the ..... day of .........[200...] |
| to the ..... day of .......... [200...] [both dates inclusive] |
| in order that he/she may go away on holiday. |
| Signature of Parent: ................................ |
| Date: ............................ |