Student Positive/Quarantine COVID19 Spring Break Reporting March 12th through March 22nd
Parents/Guardians - Please use this form to document student positive or quarantine COVID19 cases from March 12th at 3pm through March 22nd at 8am. Positive or quarantine cases before this time or after this time should be reported to the school nurse or office. Positive cases will likely be contact traced beginning Monday March 22nd.


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Email address
Student First and Last Name
Parent/Guardian Name
Parent/Guardian Phone Number
School Building
Student's Grade Level
Is your child in quarantine due to an exposure to a positive case?  
If yes, what was the date of their exposure?
MM
/
DD
/
YYYY
If your student has COVID19 symptoms, please indicate the date in which they started
MM
/
DD
/
YYYY
If your child has tested positive, please indicate the date of the positive test
MM
/
DD
/
YYYY
Date student was last at school (includes extra curricular activities and athletics)
MM
/
DD
/
YYYY
Please list any school activities in which the student is involved
Is the student a bus rider?
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