Bristol Public Schools: Launching into Healthy Learning

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To report positive COVID status please click here and complete.

A representative of the Bristol Burlington Health District (BBHD) will contact you in 24-48 hours to advise you on your report.

Do not report to school until cleared to do so by the BBHD.

Email *

In the space below type your child's first name. If an employee, type your first name. *

In the space below type your child's last name. If an employee, type your last name. *

In the space below, enter your child's date of birth. If you are an employee, enter your date of birth (month/day/year).

YYYY

Enter your child's grade level.

I am completing this form as: *

Parent/guardian of BPS student.

BPS employee

Todays date is: *

YYYY

My child tested positive for COVID-19 on (enter date of test). If you are an employee, enter the date of the positive COVID-19 test result: *

YYYY

Enter the date of onset of COVID symptoms (if symptomatic).

YYYY

Select the appropriate response regarding symptomology below: *

COVID-19 symptoms are mild

COVID-19 Symptoms are severe

No COVID-19 symptoms are present

Required

I can be reached by phone at:

Send me a copy of my responses.

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