COVID-19 Self-Reporting Form
Please use this form to self report any confirmed cases of the coronavirus in your family.
Have you, your student, or an immediate family member received a positive COVID 19 test?
An immediate family member
What is your first name?
What is your last name?
If you are a DCI parent/guardian, please list the name of the DCI student:
What is the best number to reach you?
What is your relationship to DCI?
Parent/Guardian of a DCI Student
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This form was created inside of DC International School.