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GSA Fyler Daily Student Health Screening
This form must be completed PRIOR to entering the school building each day, IN THE MORNING, that a student comes to school. Parents or Guardians should complete this form one time a day per child coming to school. Students who are exhibiting symptoms are NOT permitted to enter the building. If your child has any of the listed symptoms, they should not report to school until the parent or guardian speaks with the school nurse. Please call the school nurse at 314-261-4361 ext.3 or email
Responses sent prior to 5am on the morning of a student's arrival on campus will be deleted and this Screening Survey will have to be completed again.
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Student Grade Level
Student First Name
Student Last Name
How will your child be dismissed from school at 2:30 (1:35 on Wednesdays)? If you are picking up, but expect your child to walk to another location (for example: on any of the side streets or at QuikTrip) to meet you, please choose Walker. If your child is driving themselves or riding with another student driver, please choose Walker.
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This form was created inside of Gateway Science Academy of St. Louis.