Please complete the form below if your child has tested positive for COVID 19. Child's Name Child's Date of Birth Child's Grade Center (If your child attends more than one center, please check all that apply) Hoover Kindergarten Care Howe Kindergarten Care Lincoln Kindergarten Care Foster Hoover Howe Jefferson Lincoln Markham Washington Date of Positive COVID Test Type of Test (check all that apply) PCR Antigen At Home Is your child Asymptomatic? Yes No Date Symptoms Began What was the last date your child attended MLEDP? Leave this field blank