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學甲國小COVID-19訊息通報
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* Indicates required question
1.班級
*
Your answer
3.通報情況
*
1.學生因同住家人確診被匡列
2.學生本人快篩陽性確診
2.學生姓名
*
Your answer
4.學生是否有就讀學校之兄弟姊妹
*
1.否
2.是(請在下方其他寫出兄弟姊妹班級、姓名)
Other:
Required
5.同住家人或學生本人快篩陽性日期
*
MM
/
DD
/
YYYY
6.通報者(與學生關係/聯繫電話)
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Your answer
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