Oceanair COVID CASE REPORTING

	Please use this form to report any COVID related case.

1.	Name and relationship of the reporting person?*

2.	Name of student with COVID symptoms or exposure?*

3.	Email Address?*

4.	Phone Number?*

5.	Has the student received a COVID test?*

6.	Any symptoms (please list)?
	1   2   3   4   5

7.	Names of siblings and schools they attend?

	Please click DONE to submit.