COVID-19 Health Monitoring Agreement
In many cases, the City of Lubbock Health Department has permitted individuals exposed to COVID-19 to limit their quarantine to ten days (as opposed to the original 14-day quarantine requirement). Lubbock-Cooper ISD will accept this shortened quarantine period as dictated by the Health Department, but requires parents to agree to monitor student health and assist the district in heightened health and safety practices.

You are being asked to complete this form because your child has been exposed to an individual with a lab-confirmed case of COVID-19, and you wish for your child to return to school following a ten-day quarantine (rather than a 14-day quarantine).

By completing this form, you are agreeing to the following REQUIREMENTS:
- I will monitor my child for any cold- or allergy-like symptoms and report any such symptoms to my child's campus administration or nurse as soon as possible.
- I will check my child's temperature daily before my child goes to school. If my child has a temperature greater than or equal to 100.0 degrees Fahrenheit, I will keep my child home and report this information to my child's campus nurse.
- Until the original 14-day quarantine period is over, my child will wear a mask at all times during the school day. When eating (breakfast, lunch, or snack time), my child will sit away from all other individuals. This applies to children of ALL grade levels.

If you do not wish to complete this form, your child will be allowed to return to school at the end of the 14-day quarantine period.
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Student's Name: *
Student's Campus: *
I confirm that my child has been isolated away from the infected individual for 10 days. The last date my child had contact with the infected  individual was: *
Your name typed below will serve as your signature certifying that you agree to abide by the requirements listed above, and the last date of contact between your child and the infected individual. *
If you you agree to abide by the requirements listed above, and confirm the last date of contact between your child and the infected individual, please type your full name.
If you have any questions or concerns, please contact the City of Lubbock Health Department or your child's campus nurse.
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