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COVID-19 School Reporting Form
Parents, please fill out the following Google Form so that we can have your child's positive COVID-19 case documented.
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* Indicates required question
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Student's Gender
*
Choose
Male
Female
Other/Non-Binary
Student Ethnicity
*
Choose
Hispanic
Non-Hispanic
Unknown
Race
*
Please check all that apply.
Black
White
Asian
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
Other
Unknown
Required
Student Homeroom
*
Choose
Camp Corral Camper
Teenies A
Teenies B
Tweenies A
Tweenies B
Toddlers A
Toddlers B
Toddlers C
Pre-3A
Pre-3B
Pre-3C
Pre-3D
Pre-4A
Pre-4B
KA
KB
1A
2A
3A
3B
4A
5A
6A
6B
7A
7B
8A
9th
10th
11th
12th
ACA Employee
Parent Last Name
*
Your answer
Parent First Name
*
Your answer
Parent Phone Number
*
Your answer
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