Self Reporting Travel Form
Students, Staff and Parents are asked to complete this form in order for The District to keep an accurate report on active or potential Coronavirus cases. Please report any international travel (personal or professional) to Level 1 or higher risk countries (as of 3/9/20, this includes China, Iran, South Korea, Italy, Japan and Hong Kong).
Full Name (First, Last) *
I am a_______? *
Primary Email *
Primary Phone Number *
Please Select Travel Type
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