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Daily Absence Form
A parent/guardian must complete this form for daily absences, tardys, and dismissals. 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!

Please note, if an absence is due to an extended planned time out for any reason, a different process is used. This form must be completed for each day your student will be out AND requests must go through the Director of Student Services and appropriate documentation must be completed. Please contact Meaghan Roach at mroach@nda-worc.org as soon as possible.

*DO NOT complete this form more than 24hrs in advance.
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Email *
Phone Number *
Parent/Guardian Name *
Student 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 daughter's absence, tardy, or dismissal. *
If you previously checked off dismissal, please indicate the time which your daughter will be leaving NDA campus.
Time
:
Does your daughter 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. *
Please check off any relevant symptoms experienced by your daughter: *
Required
If you checked off "none," please indicate your daughter's illness, medical issue, or other reason for her absence. Write N/A if you checked off a selection above. *
Has your daughter had a direct or indirect exposure to Covid-19? Please note, if responding "yes" the School Nurse will be calling you to review protocols. *
Required
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