COVID-19 Notification Form
This form is to be completed by parents if, for any reason, your child needs to isolate. Please provide as much detailed information as possible.

Once you receive your results please call the school office on 01606 288110 or email them on office@wharton.cheshire.sch.uk
Email address *
Child's Name(s) *
Child's Class(es) *
Parent Name *
Name of the person with symptoms *
Relationship of this person to your child(ren)
Date of onset of symptoms *
MM
/
DD
/
YYYY
Date of COVID-19 test *
MM
/
DD
/
YYYY
What are the symptoms of the affected person? *
Required
My child is currently: *
Any other relevant information
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