Isolation Return Form

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In planning for your student's return from isolation/quarantine due to a positive COVID-19 test, please complete the form below.

Email *

Student's Last Name *

Student's First Name *

Student's Identification # *

This is the 9-digit number associated with their Chesapeake Public Schools accounts.

Student's Grade Level *

Student's Lunch Section *

Per recent CDC guidance, students who have tested positive for COVID-19 may return to school after 5 days of isolation/quarantine provided their symptoms have been resolved and they wear a mask. Realizing these students are also required to distance six feet when not wearing a mask, adjustments will need to be made for your child during breakfast/lunch. Please select one of the options below: *

I give permission for my child to eat in an alternate breakfast/lunch location for the remainder of the quarantine period.

I do not give permission for my child to eat in an alternate breakfast/lunch location. I will instead opt to keep my child home the entire 10 days.

What date is your student approved to return to school after testing positive for Covid-19? *

YYYY

By selecting "I accept, " you are confirming that the information provided is true and accurate to the best of your knowledge. *

I accept.

I do not accept.

Electronic Signature *

Please type your full legal name below (as it appears in ParentVue) to verify the conditions for your child's return as it pertains to masking and breakfast/lunch.

A copy of your responses will be emailed to the address you provided.

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