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Positive Case Reporting Form
If you are an SWL student and have tested positive for COVID-19, please complete this form.
Should you have questions, please reach out to the building administrator.
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Student First Name
*
Your answer
Student Last Name
*
Your answer
Student ID Number
*
Your answer
Parent / Guardian Name:
*
Your answer
Email Address:
*
Your answer
Building
*
Choose
Early Learning Center
Kirkersville Elementary
Pataskala Elementary
Etna Elementary
Watkins Intermediate School
Watkins Middle School
Watkins Memorial High School
Grade Level:
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Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Preschool
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