Leave of Absence Form (Years 7-13)

Please complete this form for SUBSTANTIVE requests for a leave of absence from school for your son/daughter, typically totalling a full day or more.

This form should not be used for ad-hoc medical appointments etc. All your son/daughter will need for this is a note from home, which they will hand in to the main office, when they sign out to leave school, upon collection.

Similarly, this should not be used for Sixth Form students needing time off for university visits, interviews or driving tests. Sixth Formers are aware of the different process for these circumstances.

Student Details*
Name Of Student (s) Year Group (e.g. Year 8) Form Group (e.g. 9.2)
First date of absence*
Date Format: DD slash MM slash YYYY
Last date of absence*
Date Format: DD slash MM slash YYYY
Total days absence*
Reason for absence (please be specific)*
Email address of parent*

The Coopers’ Company & Coborn School

St. Marys Ln,
Upminster,
RM14 3HS

01708 250500
Email Us
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Name Of Student (s)	Year Group (e.g. Year 8)	Form Group (e.g. 9.2)