Special Leave Form

Please complete either form below and send to admin@rowlandhill.haringey.sch.uk or hand it in to reception.

Special Leave form

Please complete all fields marked (*)

Your first name *

Your last name *

Name of Child *

Key Person *

Date of First Day of Absence *

 

Date of Return *

 

Number of Days Requested *

 

Today's Date *

 

Outlining the 'exceptional circumstances' for which a leave of absence is needed *

Please provide a signature. *