Returning to School Confirmation Form
This form is to be completed by all parents who have had children at home with illness.

This form is to be completed by all parents whose child or any household member have been identified as a close contact of someone who has a confirmed case of COVID-19.

Please complete this form to confirm that your child is healthy and able to return to school.

You must submit this form to your campus principal prior to your child returning to school. Children will NOT be permitted to return to school without this form being completed and submitted.



Child's Name: *
Last date child was at school *
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Proposed return date *
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