Confirmed Coronavirus Case
Please fill in the form below if your child at Kingsmoor Lower School has received a positive Coronavirus test result.
Sign in to Google to save your progress. Learn more
Child's Name *
Class *
Date child last attended school *
MM
/
DD
/
YYYY
Date of onset of symptoms
MM
/
DD
/
YYYY
Positive test  result received on... *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kingsmoor Lower School. Report Abuse