Potential Self-Isolation
To assist Ilam School to manage the Coronavirus effectively, we ask that any family who is in self-isolation to register with the school by completing and submitting this form:

Email address *
Your Name: *
Student's Name: *
Please explain your reason for self-isolation: *
Date of commencing self-isolation: *
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Date of completing self-isolation: *
MM
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DD
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Please list the names of those who will be self-isolating in your household, and differing self-isolation dates (if any):
Please describe how you will manage the self-isolation e.g. at home, at an alternative address etc:
Please advise the School if you have been/are tested for COVID-19, and the outcome of testing:
Submit
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