Request edit access
NDA - Absence/Tardy/Dismissal Form
A parent/guardian must complete this form for daily absences, tardies, and dismissals. Students are not allowed to complete this for themselves. Please input the parent/guardian email for the first question. You will receive an automated message at the end of the school day regarding the student's absence or tardy - you do not need to contact the school again if this form has been completed. Thank you!

If your daughter will be absent for an extended planned period, please follow a different process. You must complete this form for each day your student will be out, and the request must be approved by the Director of Middle/High School, with all necessary documentation submitted. For assistance, contact Pam Smith at psmith@nda-worc.org as soon as possible


*We ask that you DO NOT complete this form more than 24 hrs in advance.

Sign in to Google to save your progress. Learn more
Email *
Student Name *
Parent Name: *
Student Grade Level *
 Date of Absence, Tardy, or Dismissal *
MM
/
DD
/
YYYY
Check off all that apply. Note that students who miss 50% of classes in a day are recorded as absent for the entire day regardless of their dismissal or tardy status. *
Indicate the reason for your student's absence, tardy, or dismissal. *
If you previously checked off dismissal, please indicate the time which your student will be leaving NDA campus.
Time
:
Does your student participate in athletics, theater or other school-sponsored clubs? Please note, absences, tardies, and dismissals from school on a given day disqualifies a student from participation in ANY school activity that is to take place on that day - academic, arts, athletic, or non-athletic. Only exceptions are medical appointments - if responding "yes" you must provide an official doctor's note to the Main Office in order to participate in afterschool practices, games, and activities. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Notre Dame Academy.

Does this form look suspicious? Report

Google Forms