Covid-19 Online Form – Mount Pleasant Primary School

Thank you for contacting Mount Pleasant Primary School regarding you child’s positive COVID test. We will be in touch with you shortly.

Please fill in all fields and if a question is ‘Not Applicable’ write N/A

Child’s Name

Child’s Surname

Child’s date of birth (YYYY-MM-DD)

Child’s classroom

Teacher’s name

Reporter

Reporters relationship to child

Reporters contact number

Positive COVIDS test-RAT or PCR

Select one

Date of close household contact (YYYY-MM-DD)

Date returning to school (7 days after contact as long as asymptomatic) (YYYY-MM-DD)

Last date attended school (YYYY-MM-DD)

Additional comments