JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
HLS Close Contact
Please report Close Contacts (<6' for >15 minutes) with any member of the Highlands Latin School community.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
If you are filling this out for your child, please enter your child's name.
Your answer
Close Contacts
*
List all close contacts, one on each line. If close contacts have different dates, please submit them separately.
Your answer
Date of First Close Contact
MM
/
DD
/
YYYY
Date of Last Close Contact
If continuous, enter the future date you expect it to end.
MM
/
DD
/
YYYY
Please provide any additional information that may be helpful.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Highlands Latin School.
Report Abuse
Forms
