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Coronavirus Covid-19 Test Reporting
Reporting of Covid-19 positive tests within Hazelwood School households 11 December 2020 - 5 January 2021 - please complete a separate form for each individual case
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* Indicates required question
Surname
*
Your answer
First Name
*
Your answer
Status
*
Choose
Pupil
Parent
Other
If other please state details
Your answer
If pupil please indicate Year Group
Choose
Fledglings
Robins
Skylarks
Oak Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Date Positive Covid-19 Test Result Received
*
MM
/
DD
/
YYYY
Please add any further information you feel necessary
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