WMMS Student Daily COVID Screening
                                              ***PLEASE COMPLETE THIS FORM DAILY***

You must answer ALL the following questions before you physically report to school on District property every day that you attend school. You may also be required to provide the answers in person. If any answers changes while you are at school, immediately notify your teacher or site staff making sure to adhere to safe social distancing, wearing face-covering (mask).

• Do not attend school if you  answered YES to any question.

Please remember that it is our goal to provide a safe and welcoming environment for students and staff during this time.  We will adhere to the following safety protocols:
*Double Masking is strongly recommended.  All individuals are required to wear masks appropriately while on campus.
*Maintaining social distance between you and other people.  

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Email *
Detección diaria de COVID por parte de los estudiantes de WMMS
Today's Date *
Parent  FIRST & LAST Name *
Student FIRST & LAST  Name *
Student ID Number *
Student Grade *
Within the last 10 days have you been diagnosed with COVID-19 or had a test confirming you have the virus? *
Have you had any of the following COVID-19 SYMPTOMS(CDC) in the last 24 hours:           •Fever (100* or higher)• Chills• Cough• Shortness of Breath or Difficulty Breathing• Fatigue• Muscle or Body Aches• Persistent Headache• New Loss of Taste or Smell• Sore Throat• Congestion or Runny Nose• Nausea or Vomiting• Diarrhea *
Do you live in the same household with, or have you had close contact in the past 14 days with someone who has been in isolation for COVID-19 or had a test confirming they have the virus? *
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