I have COVID-19 information to report.
Email *
This form is being completed by? *
Best phone number to reach you incase there are any questions. *
Who has COVID-19? *
Child's First Name (one child per form) *
Child's Last Name (one child per form) *
Child's Date of Birth *
MM
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DD
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YYYY
What campus does the child attend? *
Child's current grade level. *
When was the COVID-19 positive person's SYMPTOM start date? *
MM
/
DD
/
YYYY
What was the last day your child was on Sanger ISD Campus? *
MM
/
DD
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YYYY
Please list any close contacts that live in the same household with the Covid positive person.
Any additional comments.
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