Please state the last day your child attended school *
MM
/
DD
/
YYYY
Please state the date and time COVID symptoms started. If no symptoms please state 'not applicable'
Your answer
Date of Positive Lateral Flow Test, please leave blank if not applicable
MM
/
DD
/
YYYY
Please provide the date the COVID PCR test was done, if one has not been taken yet, please confirm the date it has been booked for or alternatively when you arranged a postal test
Your answer
PCR Covid test result *
Do you have internet connectivity at home *
Required
Do you have a laptop or device suitable for remote learning *