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Fairborn City Schools COVID-19 Reporting Form
It is very important that you please continue to notify the school if your student or another member of your immediate household has tested positive for COVID-19 (Coronavirus).
This form is to be completed for anybody who attends Fairborn City Schools and has either tested positive for COVID-19 or has been exposed to anybody who has tested positive for COVID-19. Once this form is submitted it will be reviewed and you can expect a call from the school regarding the information that you provided. Thank you for helping to keep our kids safe and healthy during this pandemic!
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* Indicates required question
Reason for completing this form:
*
My student tested Positive for COVID-19
My student has been exposed to somebody who has tested positive for COVID-19
My student has been tested for COVID-19 and we are awaiting results
My student is planning to be tested for COVID-19
Other:
First and last name of person completing form
*
Your answer
Best Phone Number to reach you including area code
*
Your answer
First and Last name of student
*
Your answer
Student Grade
*
Choose
K
1
2
3
4
5
6
7
8
9
10
11
12
Other
First and last name and grade of any other siblings in the district:
Your answer
Please list any school extracurricular activities (sports, band, clubs, etc) that the student has attended? If none please type none or N/A
*
Your answer
Please give the date the student last attended any school extracurricular activities (sports, band, clubs, etc)?
MM
/
DD
/
YYYY
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