Isolation Tracking
Student Name
First Name
Last Name
Grade Level
Please Select
6th
7th
8th
Absence/Isolation due to:
Please Select
Lab Confirmed Positive COVID Screening
Home Test - Positive COVID Screening
Awaiting Screening Results
Contact with suspected/confirmed @ home (ie.parent/sibling)
Contact with suspected/confirmed - community transmission (ie. extended family, friends, church, etc)
Contact with suspected/confirmed @school
EXCUSED absence for other NON-COVID related reason
Absence Begin Date
-
Month
-
Day
Year
Date
Absence End Date
-
Month
-
Day
Year
Date
Student will Return to School
-
Month
-
Day
Year
Date
Entered By:
Plays Sport
Boys Basketball
Cheer
Girls Basketball
Track
Wrestling
Additional Notes/Info
Return to Sports date with negative test
-
Day
-
Month
Year
Date
Return to sports date without testing
-
Month
-
Day
Year
Date
Submit
Should be Empty: