Travel Notification Form
I am a
Names of those traveling (Last, First)
Schools: Please select all that apply.
Bishop John Carroll
Christ the King
Mount St. Mary
Sacred Heart, El Reno
Sacred Heart, Oklahoma City
St. Charles Borromeo
St. Elizabeth Ann Seton
St. John Nepomuk
St. Mary, Guthrie
St. Mary, Lawton
St. Mary, Ponca City
St. Philip Neri
Sts. Peter and Paul
Please identify an emergency contact (Name, Relationship, Phone)
Is anyone living in your household planning to travel (or are you currently traveling) outside of the United States?
Please list any international destinations that you are currently traveling in or plan to travel to.
Is anyone living in your household planning to travel (or are you currently traveling) domestically?
Please list any domestic destinations that you are currently traveling in or plan to travel to.
Please describe your travel plans. Include departure and arrival dates and any airports and locations visited (city, state, country, etc.).
Are you aware that you must self-quarantine for 14 days prior to returning to school if you have traveled to China, Iran, Italy, South Korea, Japan or any other country or location determined to be a Level 2 or Level 3 by the CDC (
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