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Corona report
Corona report KG
Corona Report
Contact data
First name pupil
*
Surname pupil
*
Class
*
Parents' email address
*
Telephone number for queries
*
Details of the corona infection
Date of testing
*
Type of testing (e.g. PCR, rapid test ...)
*
Does the pupil show symptoms?
*
Yes
No
If yes: Since when have there been symptoms?
Last day of school attendance
*
Details of other contacts
Does the pupil have siblings at the ESM?
*
No
Yes, Kindergarten
Yes, Primary School
Yes, Secondary School
If yes: Name and class of siblings
Does the pupil participate in extracurricular activities?
*
No
Yes
If yes: In which courses does the student participate?
Does the pupil use the transport of the Parents' Association?
*
No
Yes
If yes: What is the bus/taxi/shuttle number?
Does the pupil take part in the school care (RUF)?
*
No
Yes
If yes: In which group?
What else would you like to tell us?
Data protection
*
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