Request for Absence - St. Anselm's College

Please either complete the form online or download and complete the form here

Surname of Student *

First Name of Student *

Date of Birth *

Form *

Full Name of Parent / Carer *

Email Address *

Address of Parent / Carer *

Postcode *

Telephone Number *

Reason for Absence *

Do you consider this request to be due to exceptional circumstances? If so, please outline the reasons why

Dates of proposed absence:

From *

To *

Would your child/chidren miss any national tests or examinations? *

Please give dates, reasons, and number of College days leave: *

Are there any other siblings? *

Please state their name/s and school/s they attend: *

Parent/Carer signature *

Manor Hill, Birkenhead, Wirral, CH43 1UQ

0151 652 1408 | info@st-anselms.com

Headteacher: Mrs S. Cubbin BSc, NPQH, PGDip

Chair of Governors: Mrs P. Green

Manor Hill, Birkenhead, Wirral, CH43 1UQ | 0151 652 1408 | info@st-anselms.com