CIS & EFI Coronavirus Travel Policy
Lh
Email *
Your Name *
Child 1's Family Name *
Child 1's Given Name
Child 1's Grade Level *
Child 2's Family Name
Child 2's Given Name
Child 2's Grade Level
Child 3's Family Name
Child 3's Given Name
Child 3's Grade Level
Clear selection
Child 4's Family Name
Child 4's Given Name
Child 4's Grade Level
Will your family travel outside of Cambodia over the next 60 days? *
If yes, where to? If no, please type "N/A" *
I understand that if my child(ren) visit(s) a country that is deemed a "Level 3" risk area by the Center for Disease Control (CDC), they will be required to stay home for 14 days after their return to Phnom Penh. As of March 12, 2020, these countries are China, South Korea, Italy and Iran. *
By e-signing this form, you confirm that you have answered questions honestly and will adhere to the statement above. These expectations will apply to both CIS & EFI communities, including faculty and staff. *
Date *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Canadian International School of Phnom Penh. Report Abuse