Richard Mann Elementary - Attendance/Early Dismissal Form
Please enter the following information below to report a student absence, tardy, early dismissal or end of day dismissal.
* Required
Email address
*
Your email
Student Name (First & Last)
*
Your answer
Parent/Guardian Name (First & Last)
*
Your answer
Parent/Guardian Phone Number (For questions or issues)
*
Your answer
Teacher Last Name
*
Your answer
Length of Absence
*
Choose
Full Day Absence
Late Arrival
Early Dismissal
Date of Absence, Tardy or Early Dismissal
*
MM
/
DD
/
YYYY
If absence is multiple days, school return date is
MM
/
DD
/
YYYY
Time of Early Dismissal (if applicable)
Time
:
AM
PM
Reason for Absence, Tardy or Early Dismissal
*
Sick - LIST SYMPTOMS IN NEXT AREA
Doctor Appointment
Dentist Appointment
Orthodontist Appointment
None-End of Day Dismissal
Travel
Other:
Required
Student Symptoms if Sick
Your answer
If traveling, where to?
Your answer
Send me a copy of my responses.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Gananda Central School District.
Report Abuse
Forms