Merritt Memorial School - COVID Positive Reporting
Please use this form to report/notify Merritt School administration if your child has received a COVID positive test result.
Student First Name
Student Last Name
Prior to receiving test result was your Child participating in "Live/In School Instruction" or was your Child fully "Virtual"
Live/In School Instruction
Email address for Parent/Guardian if further information is needed by District
Cell Phone # for Parent/Guardian if further information is needed by District
A copy of your responses will be emailed to the address you provided.
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of Cresskill Public Schools.