Visitors PreRegistration

Please fill out this form to schedule an appointment with the school:

* Indicates required field

Name *

First

Last

Phone Number *

Date and Time Requested *

Reason for Visit *

Are you currently experiencing any of the following symptoms: fever, cough, shortness of breath?

Experienced Symptoms: *

Yes No

In the last 14 days, have you tested positive for COVID-19 or have you been tested and are awaiting results?

Tested Positive or Awaiting Results? *

Yes No

In the last 14 days, have you been in contact with anyone who has tested positive for COVID-19 or is awaiting results?

Close contact with positive case or awaiting results *

Yes No

Submit