COVID Report
Please complete this form if your son/daughter has developed symptoms or tested positive for COVID-19. We will review this information and reach out to you regarding quarantine timelines, school work, etc. Thank you in advance for helping to keep everyone safe and healthy.
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Your name and relation to student. *
Best phone number to reach you. *
Student ID # *
Student Last Name *
Student First Name *
Date Student Was Last In School *
MM
/
DD
/
YYYY
Date Student First Developed Symptoms
MM
/
DD
/
YYYY
Date Student Tested Positive(if was tested)
MM
/
DD
/
YYYY
Is student currently involved in sports or an after school activity? Please specify.
Any additional information or questions....
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