Self-Reporting Form COVID-19
Please submit this form if you, your child or anyone in close contact with your family has a confirmed or probable case of COVID-19.  We frequently keep in contact with the health department and must follow any isolation and quarantining.  
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Child's Name *
Child's Class *
Is your child a close contact to a confirmed or probable case of COVID-19? *
Does your child have a confirmed case of COVID-19 or is it a probable case of COVID-19?
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What was the date of the positive test or first day of symptoms? *
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Parent Name *
Submit
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