Scholar Only Symptom Reporting Form - Formulario de notificación de síntomas solo para estudiantes
Please complete this form if your child is exhibiting COVID-19 symptoms, which are included below with this form.  Complete este formulario si su hijo(a) presenta síntomas de COVID-19, que se incluyen a continuación con este formulario.                                  
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Email *
Parent/Guardian Name - Nombre del Padre/ Guardian *
Phone Number - Número de teléfono *
Scholar Name- Nombre de estudiante *
Date of Birth - fecha de naciemiento *
MM
/
DD
/
YYYY
School-  Escuela *
Required
What is your temperature? - Cual es tu temperatura *
What are the symptoms of your child? - ¿Qué síntomas tienes? *
Required
Where did you travel? - ¿A dónde viajaste? *
What dates did you travel? ¿Qué fechas viajaste?
Any additional Information - Cualquier información adicional *
A copy of your responses will be emailed to the address you provided.
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