JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Covid Reporting During Christmas Break - LCA
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student
*
Your answer
Grade Student is Enrolled In
*
Your answer
Did the student test positive for Covid 19? If yes, date of last contract with positive case.
Your answer
Is the student quarantined due to close contact with a positive Covid case? If yes, date of last contact with positive case.
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lincoln County Schools.
Report Abuse
Forms
