COVID Alert 2022-2023
Use this form ONLY if your child tests positive for COVID.
Sign in to Google to save your progress. Learn more
Email *
Student's First Name
Student's Last Name
Student ID Number
Grade Level
On what date was your child tested and found to be positive for COVID? *
MM
/
DD
/
YYYY
Has your child been vaccinated for COVID? *
Parent's Name
Parent's email address
Please click  below to confirm your understanding of the following:  I understand that my child should quarantine 5 days from the day after symptoms began.  Upon their return, I understand that my child must wear a face mask for an additional 5 days.  I also understand that I must send a copy of the COVID results from the child's doctor in order to excuse the absences.  Home test results will not excuse the absence, nor will a parent note.
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy