If reporting an ill child, please identify any of the symptoms below.

Feeling feverish or chills  |  Fever of 100.4 F or higher  | Headache  |  New muscle pain | A new cough  |  A new sore throat | Shortness of breath or breathing difficulties | New loss of taste, smell, or appetite | Congestion or runny nose | Fatigue (more tired than normal or sudden onset) | Abdominal pain  |  Nausea, vomiting or diarrhea

Parent/Guardian Contact Information

By submitting this form, you are confirming that you are the parent or legal guardian of the student