Author: Toot Hill School

Leave of Absence
Name: Mentor Group:
Subject/s:
Period/s:
Date of Absence: / Please state a reason why you are taking a leave of absence: / Parent Signature:
Request from Student/Parent (delete applicable)
Authorised : Unauthorised:		Date:
Catherine Mordue Head of College		Date:
Entered on Bromcom		Date:

Leave of Absence
Name: Mentor Group:
Subject/s:
Period/s:
Date of Absence: / Please state a reason why you are taking a leave of absence: / Parent Signature:
Request from Student/Parent (delete applicable)
Authorised : Unauthorised:		Date:
Catherine Mordue Head of College		Date:
Entered on Bromcom		Date: