Vikings COVID and Travel Tracking
This form is 100 percent confidential and used only for Vikings Tracking Purposes.  Please fill out one form for each child.
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Email *
Parent Last Name *
Parent First Name *
Child Full Name *
Parent Cell Phone Number *
Gender of Child *
My Child's Team is:
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My child has taken a CoVid Test and received a negative response on:
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My child has tested positive for Covid 19 on:
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If your child has covid, when did their symptoms first appear:
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Has your child traveled outside of the tri-state area in the last 10 days for more than 24 hours? *
If yes to above, date of return from trip.
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Has your child had direct contact with someone who has tested positive for Covid 19 or has been advised to quarantine or isolate by any organization including schools, houses of worship, or health departments, etc ? *
If yes, date of exposure:
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By clicking here I understand I am providing the most accurate information I have to date and my information will be kept confidential. *
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