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Covid Reporting Form
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* Indicates required question
Name (First, Last)
*
Your answer
Child's Name / Children's Name (FirstName, Last Name)
*
Your answer
Working Phone Number
*
Your answer
Email Address
Your answer
Please Select the Issue(s) you wish to report
*
My child or someone in our household is awaiting COVID test results
My child or someone in our household has tested positive for COVID
My child has come into direct contact with someone who has tested positive for COVID
Other:
Thank you for submitting this information. You should expect a response within 24-72 hours
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