Reporting a positive COVID-19 Case
Please complete the following form if your child who attends Granville Academy has a positive test result.
Sign in to Google to save your progress. Learn more
Email *
Please state the full name of your child (with the positive result) *
Please select the Year group your child is in *
Required
Please state the last date your child was in school (if known) *
MM
/
DD
/
YYYY
Please state the date when COVID symptoms first appeared for your child ( please enter test date if had no symptoms) *
MM
/
DD
/
YYYY
Please state the symptoms that were seen (or state if none) *
Please state the date the test was taken *
MM
/
DD
/
YYYY
Please state if anyone else in the household has symptoms, if so, what? *
Please state your name and contact number, should we require further details from you. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The de Ferrers Trust. Report Abuse