Brunswick Junior High School: COVID-19 Positive Case Reporting Form
In an effort to streamline communication between our families and schools, we are asking families to fill out this form if your student tests positive for COVID-19.

Please know that school nursing staff will be in contact with you as needed by the end of the next school day.  

This form is only for BJHS students.  Please complete one form for each positive student.
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Student Name *
Parent / Guardian Name *
Parent / Guardian Email Address *
When did your child test positive for COVID-19? *
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/
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/
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Type of test taken *
Did your student have symptoms before testing positive?  Please check any that apply. *
Required
If yes, please list date of symptom onset.
MM
/
DD
/
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Please list any school sponsored after school activity or athletics that your child participates in.
Please list any questions you may have.
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