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Grade 1 & 2 - Covid Daily Screening Form
Dear Parents,

If your child has any of the following symptoms, that indicates a possible illness that may decrease the student’s ability to learn and also put them at risk for spreading illness to others please keep them home.

Please keep your child home if you have answered yes to any of the following questions and consult a doctor. Call the school's office with a doctor's clearance before your child can resume the classes.

Please check your child for these symptoms every morning and update the form.
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Email *
Student's Name *
Temperature 99 degrees Fahrenheit or higher. *
Sore throat *
New uncontrolled cough that causes difficulty breathing (for students with chronic allergic/asthmatic cough, a change in their cough from baseline) *
Diarrhea, vomiting, or abdominal pain *
New onset of severe headache, especially with a fever *
Had close contact (within 6 feet of an infected person for at least 15 minutes) with a person with confirmed COVID-19 *
Traveled to or stayed in an area where the local, Tribal, territorial, or state health department is reporting large numbers of COVID-19 cases *
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