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Report a COVID-19 Exposure, Symptoms or Confirmed Case

Required

If more than one student in your household is displaying symptoms, has a confirmed exposure, or has a confirmed case of COVID-19, please fill out this form one time for each student. 
I am a...required
Namerequired
First Name
Last Name
Student's Namerequired
First Name
Last Name
Please select any of the following that apply to you.required
Please select any of the following that apply to your student.required