BISD Student Daily Screener
As the parent/guardian of the student listed below, you acknowledge and attest that your student will complete daily health screening for COVID-19 symptoms prior to reporting to school. Your student will need to confidently answer "NO" to ALL of the questions listed below to be on district property. If the answer to any of the questions below is "YES," keep your student home and contact the campus by calling 361-362-6000.
Student Last Name *
Student First Name *
Grade Classification in TxEIS as of Today *
In the last 14 days has the student had any contact with anyone that is/has tested positive for COVID-19? *
Is the student or any family member currently waiting on test results for COVID-19 as a result of doctor's orders or recent exposure? *
Is the student experiencing ANY of the following symptoms in a way that is NOT NORMAL for the student? New or worsening cough or shortening of breath/difficulty breathing, loss of taste or smell, headache, chills, sore throat, shaking/exaggerated shivering, muscle/body aches, congestion/runny nose, nausea/vomiting, diarrhea? *
Never submit passwords through Google Forms.
This form was created inside of Beeville Indep School District. Report Abuse