Covid Positive Case Declaration

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Covid-19 Positive Case Declaration

Name

Tutor Group

Date Symptoms Started (if no symptoms, please give date of test)

Last Date in School

Date of Test

How does the student travel to school?

Your name

Your contact email address

Contact Telephone Number

Please give any details of close contacts outside of the classroom (ie walking to school, lunch & break times, close one to one conversations). This must be for two days prior to the symptoms starting or the positive date. Or any other information you feel that we need to know.

Upload your positive test result (a screenshot from your mobile device will suffice)

Upload your positive test result

Upload supported file (Max 15MB)

Thank you for your response. Someone will contact you if required

Headteacher : Mr L Brumby

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