COVID-19 Positive Test
If your child has tested positive for COVID-19 or was asked to quarantine, please complete this form.  (If you have one child that is positive and others in your household that are close contacts, fill out one for the + child and another for the close contacts)
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Email *
Child's Name *
Child's Grade
Your Name *
Best phone number to reach you at: *
What is the last date your child was in school? *
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When did your child test positive for COVID-19? (If only a close contact, skip down to question #8)
When did he or she begin to have symptoms?
If you have another child(ren) at home, are they able to isolate from the person in the household that tested positive.
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If you answered yes that your child(ren) are able to isolate from the positive household member, what was the date of last contact with him or her?
8. Was your child a "close contact"?  (within six feet for more than 15 minutes by someone positive and your child was unmasked)
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What was the last date of exposure to the positive person?
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Anything else you would like to add:
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