COVID reporting form
Please use this form to report your child's absence if it is COVID related. A school representative will be in touch with you as soon as possible. It may take up to 2 business days.
Sign in to Google to save your progress. Learn more
Student Name *
Student Grade Level *
What is the last day your student attended school? *
MM
/
DD
/
YYYY
Is your student experiencing symptoms? *
Date Symptoms Began
MM
/
DD
/
YYYY
Has your student had a positive COVID test *
Date of test *
MM
/
DD
/
YYYY
Does your student play any sports for Vista? *
When was the last time they were at practice or competitive event for this sport?
MM
/
DD
/
YYYY
Who does your student carpool/ride the bus with? *
Does your student have any siblings in Folsom-Cordova Schools? Please list student and school. *
Is there anyone else your student was in close contact with (in a shared indoor space, for 15 minutes or more in a 24 hour period) at school? *
Name of Person filling out this form *
Best contact phone number *
Best contact email *
Any other information we should know
Thank you! Your student will be placed on quarantine independent study. Please have them check their google classrooms and email their teachers for any missing work. A school representative will be in touch with you as soon as possible. This may take up to 2 business days.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Folsom Cordova Unified School District. Report Abuse