Student COVID Reporting-Liberty Middle School
Please answer all of the questions about your student's COVID circumstance.
Someone from the school will be back in touch with you. Please, do not send your student to school until you have heard from someone at the school.

Sign in to Google to save your progress. Learn more
Email *
Student's LAST name *
Student's FIRST name
*
Transportation: *
How does your student get to and from school? Check all that apply.
Required
Situation: *
What situation are you reporting for your student?   CLOSE CONTACT = being within 3 ft of someone COVID positive for 15 minutes or longer;  HOUSEHOLD CONTACT = someone in your home has tested positive for COVID
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of SCHOOL DISTRICT OF PICKENS COUNTY. Report Abuse
Google Forms