LPSS Student COVID-19 Reporting
Please complete this form ONLY if your student has a confirmed positive COVID-19 test result from a medical professional. ALL information provided in this form is confidential.
Student First Name *
Student Last Name *
School *
Student Grade *
Does this student ride a bus? *
Is this student involved in any school-sponsored extracurricular activities? *
Examples: Soccer, Football, Cheerleading, Dance Team, Robotics Club, ROTC, etc.
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