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Self-Reported Travel Request Form

We are requesting families to please complete this form if they are:

  • Traveling to known domestic or international areas where COVID-19 warnings exist or have verified community transmissions
  • Taking a cruise
  • Hosting visitors who have traveled to these areas in the last three months

This information will help keep our community safe and aid us in better knowing where members of our community are planning to travel and any action the school may need to consider upon their return. If you plan to travel, please carefully check the CDC travel website and the State Department website to ensure a safe experience for your family. 


Parent First Name
Parent Last Name
Contact Number
phone
Are you traveling?*
We are visiting:*Please list destination(s)‚Äč
We are hosting visitors who have traveled to the areas listed above in the last three months. *
We have checked the CDC Website for travel restrictions and will continue to monitor for updates.*
I understand that to keep our community safe, travel to areas identified by the CDC as Level 3 or above will require a 14-day self-quarantine and consultation with the school nurses before students may return to school.*
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