Kingswinford Academy, Water Street, Dudley, West Midlands, DY6 7AD
Part of Windsor Academy Trust
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Request for Leave of Absence

Complete the form below to request for a leave of absence.

You will receive a decision by letter or email usually within three working days of the request.

If you need to speak to someone regarding this contact Mrs Dickens on 01384 296596 or gdickens@kingswinford.windsoracademytrust.org.uk

1. The absences in line with the recent amendment to Pupil Regulations will not be authorised unless the Headteacher agrees that there are special circumstances and that any absences will be recorded as unauthorised on the school register.

2. Any unauthorised absences MAY be referred to The Education Investigation Service.

3. I understand that if a referral is made to The Education Investigation Service I may be subject to a Penalty Notice, (a fine of up to £120 in respect of each child and each parent) and/or be subject to further legal proceedings in the Magistrates Court.