Leave of Absence Request

Altrincham Grammar School For Boys

Telephone: 0161 928 0858
Email: agsbadmin@agsb.co.uk
Twitter @agsb_official

Report Bullying: email: reportbullying@agsb.co.uk

Please return this form to the school AT LEAST THREE WEEKS before the requested absence. All absences are granted at the Head Master’s discretion.

Pupil Forename: *

Pupil Surname: *

Pupil Registration Form: * eg. 7CR

First day of absence requested: * (dd/mm/yy)

Last day of absence requested: * (mm/dd/yy)

Number of days off school: *

Please provide a reason for this request: *

Requested by: * Parent/Carer name:

Parent/Carer email address: *