Wantagh UFSD February Winter Recess COVID-19 Student Reporting Form
Please use this form if your child receives a positive COVID-19 diagnosis that takes place between Saturday, February 13, 2021 and Sunday, February 21, 2021 during the winter recess period.
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Email *
Child's First Name *
Child's Last Name *
School Child Attends *
Child's Grade *
Date of Positive COVID-19 Diagnosis *
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When did symptoms begin? *
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What symptoms does your child have? Or are they asymptomatic?
What was the last day that your child attended school? *
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Does your child ride the bus? *
What is the best contact number to get in touch with you during this holiday recess? *
Please list any other children that you have that attend Wantagh Schools and include the grade and school they attend.
A copy of your responses will be emailed to the address you provided.
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