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About your child
Please complete the details for the child who has a positive test result.

This will enable us to seek advice from public health to keep our community safe and offer the appropriate support to your family.
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Child's name *
Child's year group *
Child's Date of Birth *
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DD
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YYYY
What day did your child develop symptoms of Covid-19? *
MM
/
DD
/
YYYY
What time did your child develop symptoms of Covid-19? *
Time
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What symptoms did your child have? *
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