WSHS Student COVID Reporting
This form is for the purpose of retrieving necessary information for completing COVID-related student reports.  The information submitted through this form will only be accessible by authorized school officials for the purpose of accurate documentation of positive and contact cases.
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Parent name *
Parent email *
Student name
 *
Student tested positive or exposed to someone who tested positive.
 *
Who exposed student (mother, father, cousin)? Date exposed
Date symptoms began
 *
MM
/
DD
/
YYYY
COVID test date
 *
MM
/
DD
/
YYYY
Testing location of test, (at home, Dr. office, etc..)
 *
Last day student was at school
 *
MM
/
DD
/
YYYY
Does the student ride the bus? What is the student's bus number?
 *
Has the student been vaccinated?
 *
Date student was vaccinated.
 *
MM
/
DD
/
YYYY
Does the student participated in any after school activities? Band, sports, clubs, etc..
 *
Does the student have any siblings that go to another MSCS school. What is the student's name, grade and school?
 *
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