Holiday COVID reporting form
Thank you for taking the time to keep us informed of any symptoms or positive cases over the holiday period.
If anyone in your household develops symptoms, all members of your household should self-isolate and a COVID test should be booked.
Full name (parent/carer or staff member)
Your answer
Are you a parent/carer or staff member?
Parent/carer
Member of staff
Clear selection
Are you reporting symptoms or a COVID test result?
I have symptoms (staff member)
My child has symptoms
I want to report a positive test result
Clear selection
Did you/your child develop symptoms within 48 hours of being in school?
Yes
No
Clear selection
Please submit the following information below
Parent/carer name
Name of child with symptoms
Child's class
Description of the symptoms
Date the symptoms started
Date the test result was received (if reporting a test result)
Parent/carer contact number
Please submit the information here:
Your answer
If you have received a positive result, please email a copy of the test result to office@headleypark.bristol.sch.uk
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