Covid-19 Reporting Form

Please complete the questions below, submit the form with the needed information, AND text "Covid Report Submitted" to Paige Reed at 229-322-0019 to let her know you have submitted a form.

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* 1. Student's Name

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* 2. Student's Grade

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* 3. Student's Address

Address

City/Town

State/Province

ZIP/Postal Code

Phone Number

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* 4. Has your child been exposed to a person with Covid-19?

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* 5. If yes on Question 4, what was the date of exposure?

Date of Exposure

Date

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* 6. Has your child tested positive for Covid-19

Yes

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* 7. If your child tested positive for Covid-19, what date was the positive test result?

Date of Positive Test

Date

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* 8. If your child tested positive for Covid-19, what was their last day at school?

Last Day at School

Date

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* 9. If your child tested positive for Covid-19, when was the onset of their symptoms?

Onset of Symptoms

Date

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* 10. Thank you for informing us of your child's exposure or positive test result. We will contact you shortly with their options for returning to school. Any comments or concerns can be shared in the text box. Do not forget to text Paige Reed "Covid Report Submitted" to 229-322-0019.