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Required

If you are an employee, please put "N/A" for your response.
If you are an employee, please put "N/A" for your response.
If you are an employee, please put "N/A" for your response.
Must contain a date in M/D/YYYY format
Symptoms:
What symptom(s) does the individual have (check all that apply)? (If you select other, please list those symptoms in the space provided.)​​​
Symptomsrequired
If you checked "other" please describe other symptoms here.
Must contain a date in M/D/YYYY format
Must contain a date in M/D/YYYY format
Must contain a date in M/D/YYYY format
Must contain a date in M/D/YYYY format
Has the individual attended any school-related event(s), outside of the school day that will require contact tracing (i.e. practice, game, etc.)?required
If you selected yes, please provide as many details as you can.
Close ContactrequiredHas this individual been in close contact with anyone who has tested positive for Covid-19? ​
Has this individual been in close contact with anyone who has tested positive for Covid-19? ​
If yes, please provide details including date of exposure and relationship to the individual. ​