Greenbrier COVID Reporting Form

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Please fill out the form below to report COVID positive cases for your student. An administrator from the school will contact you directly to gather further information. If you are reporting multiple cases, please complete one form for each COVID positive student.

Last Name of Student

First Name of Student

Student ID (if known)

Grade Level

Name of Student's Teacher

How would you prefer we contact you:

Phone

Either are Fine

Clear selection

Email of Parent

Best parent phone number for us to call: (please include area code)

COVID-Related Issue: *

The student has tested positive for COVID

I have an active Parent Backpack account.

Yes

Clear selection

Thank you for filling out this form.

Submit

Clear form

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