COVID POSITIVE REPORT FORM

    Is the infected person a Student or Staff member?

    Student Grade

    Is the Positive Individual Symptomatic?

    Reason for Test

    Is the Positive Individual Fully Vaccinated, Including Boosters, if eligible?

    Does the Positive Person participate in Athletics or Activities

    Do You have a Sibling or live with anyone else who attends or works at South Valley Prep?