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Positive Covid Test/Direct Contact Reporting
Please use this form to report if your child has tested positive for Covid-19, or if he/she has been exposed to Covid-19 during Winter Recess.
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* Indicates required question
Email
*
Your answer
Phone Number
*
Your answer
Child's Name, First and Last
*
Your answer
Child's Date of Birth
*
MM
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DD
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YYYY
Home Address
*
Your answer
Child's Grade and Section
*
Your answer
Child's Teacher
*
Your answer
Reason for Reporting
COVID-19 Positive
Quarantine due to direct contact of a positive COVID-19 case
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Date of positive COVID test OR first symptom(s)
MM
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DD
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YYYY
For direct contact only-date of LAST CONTACT
MM
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Type of COVID test
Rapid Test
PCR
Clear selection
FOR DIRECT CONTACTS ONLY-IF FULLY VACCINATED, date of last vaccine
MM
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DD
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YYYY
Possible site of exposure
*
Your answer
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