Intent to travel to an affected area

Families and staff planning to travel to any affected area, as designated by the CDC, during Spring Break and beyond should report travel plans using this electronic form. Those countries include South Korea, United Kingdom, most of Europe, Iran and China. This form has been updated as of Monday, March 16.

Name (Last, First)*

Answer Required

Email address*

Answer Required

Please indicate if you are a staff member or student/family:*

Answer Required

HPISD employee

Student/family

Names of children (if no children, type N/A)*

Answer Required

Please check the campus where your child attends or where you work:*

Answer Required

Armstrong Elementary School

Bradfield Elementary School

Hyer Elementary School

University Park Elementary School

McCulloch Intermediate School

Highland Park Middle School

Highland Park High School

Administration Building

I am traveling to a:*

Answer Required

Affected areas listed above

List dates of travel:*

Answer Required

I acknowledge my intent to travel to an affected area means I am aware of the CDC recommendations to self-quarantine for 14 days upon arrival back to the United States.

Answer Required

I understand the CDC recommendations.

Please fix the highlighted areas below before submitting.

Intent to travel to an affected area