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COVID Reporting Form
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* Indicates required question
Student Last Name
*
Your answer
Student First Name
*
Your answer
Students Date of Birth
*
MM
/
DD
/
YYYY
Date student tested positive
*
MM
/
DD
/
YYYY
Date student was last on campus.
*
MM
/
DD
/
YYYY
What division is your student in?
*
Children's Center
TK - 6
Junior High and High School
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