COVID-19 Self-Declaration Form (22-23)
For the 2022-2023 School Year, please see the following COVID guidance below BEFORE completing the self declaration form.  If you do complete the form, please note that one of the district nurses will be in touch with you during their normally scheduled work day hours as time permits.  

If you are experiencing a medical emergency, please call 9-1-1 or go to your nearest emergency room.  If your concern is of urgent matter but not a medical emergency, please reach out to your building Principal or Supervisor.  

Thank you for your cooperation! 

1.  I have tested positive for COVID-19: please stay home for five days following your positive result in isolation.  You may return to the buildings on day 6 with a well fitting mask through day 10.  Please note that the day you test positive for COVID is considered day 0.  

2.  I have been exposed to a positive case of COVID-19: please self monitor for any COVID like illness.  If you do develop symptoms, please take a COVID test and stay home.  Masking is recommended following an exposure, but not required.  

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Name of Person Completing Form *
Today's Date *
Best Contact Phone Number (for more information if needed): *
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