JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Boggess Student COVID Reporting Form
Please fill out this form only if your child has tested positive for COVID. All positive cases need to quarantine 5 days from symptom onset. Nurse Mariel will reach out to you if any further information is needed
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student Name
(First and Last Name)
*
Your answer
ID Number
Your answer
Parent Phone Contact
Your answer
Grade Level
*
PK
K
1st
2nd
3rd
4th
5th
Teacher
Your answer
Date of Symptom Onset (or test date if you have no COVID symptoms)
*
MM
/
DD
/
YYYY
Type of COVID test
*
PCR
Rapid Antigen
Home Test
Last date at school
*
MM
/
DD
/
YYYY
Does your child ride the bus?
Yes
No
Clear selection
Does your child attend PASAR?
Yes
No
Clear selection
Name of Person Submitting Report
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 Plano ISD.
Report Abuse
Forms
