Useful Forms

Term time leave requests

The link below contains the form you will need to complete to apply for any kind of leave during term time.  This includes occasional days as well as holiday time.  Please ensure that you read the school policy carefully before applying for term time leave.  Taking holiday during term time is at the Head teachers discretion and will not be approved unless in exceptional circumstances and your child has an attendance record of 95% or above.  

Parental agreement for school to administer medicine

The school will not give your child medicine unless you complete and sign this form.

Note:  Medicines must be in the original container as dispensed by the pharmacy


Name of child


Date of Birth

      /         /      



Medical condition or illness




Name/type of medicine

(as described on the container)


Date dispensed if shown

     /         /

Expiry date

     /         /

How much to give and how


When to be given


Any special precautions


Are there any side effects that the school needs to know about


Procedures to take in an emergency


Parent/Carer Contact details




Daytime Tel No


Relationship to child






I accept that this is a service that the school is not obliged to undertake.

I understand that I must notify the school of any changes in writing.



Date……………………………. Signature…………………………….


If more than one medicine is to be given a separate form should be completed for each one.

Files to Download

Contact The School

Dobcroft Infant School

Pingle Road, Sheffield, S7 2LN


0114 2368099

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