LMSD COVID19 Parental Consent

ISOLATION NOTIFICATION FORM

* Indicates required field

Is your child having to isolate? *

Yes - No symptoms Yes - No symptoms awaiting school advice Yes - Has Coronavirus symptoms

Student's Name *

First

Last

School Attending & Year Group *

Parent Email *

Do you wish to attend your classes online? *

Yes No Some (Please fill out which classes in the comments section)

Last Date of Isolation *

Any other comments *

Submit

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