Reporting of COVID-19 Close Contact

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Please complete this form if your child has been deemed a close contact of someone who tested positive for COVID-19. If someone in your household has tested positive, all people who live in the home are deemed close contacts. Someone from the school district will follow up with you. We appreciate you sharing this information.

Please make sure that your child stays home from school and any other activities until their quarantine period ends. The school nurse will be in contact to discuss returning to school.

Student First Name: *

Student Last Name: *

Which school does your child attend? *

Ware Shoals Primary

Ware Shoals Middle

Ware Shoals High

Parent/Guardian Name: *

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

Please describe your child's exposure to the positive case. For example: parent tested positive, grandparent tested positive and child was around them on Saturday. *

Please give date of last date of contact with positive case *

YYYY

Does positive case live in the household with the student? *

Yes

Other:

Please list any other children and their school who may need to quarantine. *

Any other information that you would like for us to know? *

Submit

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