COVID-19 Student Information

GTCYS COVID-19 Student Exposure Details

Please complete this short form to explain the details of your student's exposure, symptoms, and/or diagnosis with COVID-19. Doing so will help GTCYS better understand any potential spread within orchestras and inform any necessary contact tracing measures. This information is confidential and we will not share students’ identity with other GTCYS families, though someone from our staff may follow up with you with additional questions.

GTCYS Student Name*
First Last
Student's Orchestra*
Contact email for this student's family*
Enter the most recent date when you attended an in-person GTCYS programming event:*
Check any of the following which apply to this student:*
- This student been exposed to someone with COVID-19
- This student has symptoms of COVID-19
- This student has tested postive for COVID-19
Exposure details
Please list the date of exposure and any details which may be helpful in GTCYS' contact tracing process
Symptom details
Please list the date this student first started experiencing symptoms if they intend to be tested for COVID-19
Positive test details.
Please list the date when this student started experiencing symptoms, the date when this student tested positive for COVID-19, and any other details which you wish to share.
Is this student fully-vaccinated?*
Fully-vaccinated means it has been 2 weeks since receiving the second Moderna or Pfizer dose, or one week since receiving the Johnson & Johnson dose.
- Yes
- No
- Prefer not to say

Greater Twin Cities Youth Symphonies Mark Russell Smith, Artistic Director

COVID-19 Student Information

GTCYS COVID-19 Student Exposure Details

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