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Family Registration for Firefly Homeschool Community
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Parent Name
Email
Phone Number
Student name(s)
Are you reporting a COVID exposure or postive test?
What was the date of exposure or positive test?
Does your student have symptoms? If yes, please describe (fever, runny nose, coughing, shortness of breath, aches, chills, etc.)
Your plans for testing are:
Please provide us with any other relevant information here: