Middle School - Report an Absence
Please enter the following information below to report a student absence, tardy or early dismissal.
Student's Last Name
Student's First Name
Parent/Guardian's Last Name
Parent/Guardian's First Name
Parent/Guardian Phone Number (for questions or issues)
Date of Absence
Length of Absence
Time of Early Dismissal (if applicable)
Reason for Absence (Doctor/Dentist/Orthodontist Appointment, Illness, etc.)
Sick - list symptoms in the next area please
Student symptoms if sick
For further information, please contact the Middle School Attendance/Health Office at 315-986-3521, x2519 or email Kim Roach at
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Gananda Central School District.
Terms of Service