Request edit access
COVID Exposure or Positive Test Information Form
Thank you for giving us some preliminary information so we are able to follow-up with you as soon as possible. Please fill out a form for each student you may need to update us about - each case may be a bit different so one per student is preferred.

We will follow up with you shortly to discuss Independent Study options and gather some additional information as needed.
Sign in to Google to save your progress. Learn more
Email *
Parent Name, First and Last
Student Name, First and Last
Grade Level
Teacher Name
Clear form
Never submit passwords through Google Forms.
This form was created inside of Chico Country Day School. Report Abuse