Reporting a Positive or Suspected Covid Case/Symptoms
Please quarantine if you are experiencing Covid 19 symptoms until given further direction on a return date.
If multiple people who work at or attend RCPS are experiencing symptoms in your family please fill out a form for each person. 
Please Contact Robyn Murray at 540-671-1077 after completing this form. Messages are only checked during school hours. Monday-Friday 8am-3:30pm
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电子邮件地址 *
Name of person filling out this form and relation to person that is symptomatic *
Name of Person experiencing Covid 19 Symptoms *
What is the best phone number to contact you/the person experiencing symptoms? *
Where does the person attend school or work? (Select all that apply) *
必填
Please list the person's grade and class (if applicable) or their role within the school *
Does the person ride the bus? If yes, please list bus number *
What symptoms are being experienced (please list all)? *
When did the person first begin experiencing symptoms? *
When was the last time the person was on RCPS property (inside or outside) for any reason? *
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Has this person been exposed to someone with Covid 19 in the past 10 days? If yes, when? *
Has this person received a Covid Test? if yes, what was the date? *
Does your child participate in after school clubs or sports. If YES, please list them
Was your child in meeting or programs during school hours that is outside of their regular class schedule (meeting with guidance counselor, principal, reading specialist etc). If YES, please list
Anything else you would like to share that may be helpful.
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