COVID-19 Reporting Form
Please use this form to report if your child:

1) is experiencing symptoms of COVID-19,
2) has received a diagnosis of COVID-19 confirmed by a test or
3) has been in close contact with a person who has a positive COVID-19 test.

A campus nurse may follow up on this report to gather more details or to provide instructions.
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Student First Name *
Student Last Name *
Grade Level *
Parent Full Name *
Parent Email *
Parent Phone Number *
Last Date in School *
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My child *
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