Isolation Return Form - Camelot Elementary

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In planning for your child's return from isolation / quarantine due to a positive COVID-19 test, please complete the form below.

Child's Last Name *

Child's First Name *

Student ID Number *

Child's Grade Level *

PreK

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

What is your child's approved date of return? (Told to you by the nurse) *

YYYY

Per recent CDC guidance, students who test positive for COVID-19 may return to school after 5 days of isolation / quarantine provided their symptoms have been resolved and they wear a mask. Upon their return, these students are also required to distance six feet when not wearing a mask. Adjustments will need to be made for your child during breakfast / lunch for an additional 5 days. Please select one of the options below: *

I give permission for my child to eat in an alternate breakfast/lunch location for the remainder of the quarantine period.

I do not give permission for my child to eat in an alternate breakfast/lunch location. I will instead opt to keep my child home the entire 10 days.

Electronic Signature - Your name below verifies the conditions for your child's return as it pertains to masking and breakfast / lunch. *

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