STUDENT: Health, Travel, Quarantine Declaration Form
As part of our ongoing health and safety measures in preparation for the resumption of classes, please complete the form below before 8am Monday, May 18 to indicate the health and travel history of your child. Please complete one form per child.

**IMPORTANT: Once completed, a copy of your response will be emailed to you. To satisfy EDB requirements, please print it, sign next to your child's name and return it with your child on the first day of class resumption. Your child will not be allowed on campus if this form is not signed and received.
Email *
Student Surname: *
Student First Name: *
Student Grade Level: *
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