BGHS COVID Report
Please complete this form if your son/daughter has developed symptoms or tested positive for COVID-19. Please also complete this form if someone in your household has tested positive for COVID and your Buffalo Grove High School student is not vaccinated. We will review this information and reach out to you regarding quarantine timelines, etc... Thank you in advance for helping to keep everyone safe and healthy.
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Email *
Your Name And Relation To Student (Su nombre y relación con el estudiante) *
Best Phone Number To Reach You  (El mejor número de teléfono para contactarlo) *
Student ID Number (Numero de Identificación del Estudiante) *
Student Last Name (Apellido del Estudiante) *
Student First Name (Primer Nombre del Estudiante) *
Date Student Was Last In School (Cual fue el ultimo día en que el estudiante estuvo presente en la escuela) *
MM
/
DD
/
YYYY
Date Student First Developed Symptoms (Fecha en que el estudiante desarrolló los primeros síntomas)
MM
/
DD
/
YYYY
Date Student Tested Positive (if was tested)  (Fecha en que el estudiante dio positivo)
MM
/
DD
/
YYYY
Is Student Currently Involved in Sports or an After School Activity? Please Specify: (El estudiante participa  actualmente en algun deporte o en alguna actividad extracurricular.....Favor de especificar)
Name of Any District 214 Siblings and Which School They Attend (BGHS, Forest View, Vanguard, Early College Center, etc.) (Proporcione el nombre y escuela de sus hermanos si assisten al distrito 214. (BGHS, Forest View, Vanguard, Early College Center, etc.)
Names of People (First and Last name) Your Student Has Eaten Lunch With On Campus (within 6 feet for a period of 15 minutes or more) up to 48 hours before symptoms or positive covid test result. (Proporcione el nombre y apellido de las personas con las que su estudiante ha almorzado en la escuela. (A 6 pies de distancia por un periodo de 15 minutos o mas, y hasta 48 horas antes de presentar sintomas or 48 horas antes de obtener el resultado positivo de Covid.)
Any additional information or questions... (Agregue cualquier informacion adicional o preguntas....)
A copy of your responses will be emailed to the address you provided.
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