Overseas Travel - Winter Break
Please complete and submit this form if you traveled to one or more of the locations below over the Winter Break.

If you did not travel to these locations, you do not need to submit this form, and may close your browser window.

Your responses to this form will be confidential between yourself, the Bishop Guertin administration, and the school nurse.
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Email *
Name
Please check any applicable location of overseas travel over the Winter Break
What date did you arrive there?
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What date did you depart there?
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What were the city or cities that you visited?  (List)
Are you experiencing any fever or respiratory symptoms?
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Best cell phone contact.
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