BISD Student Daily Screener (FMC Elementary)
As a parent/guardian of the student listed below, you acknowledge and attest that you will complete daily employee health screening for COVID-19 symptoms prior to student reporting to school. You will need to confidently answer "NO" to ALL of the questions listed below to be on district property.  If you answered "YES" to ANY of the questions below, do not come to school and contact the front office at 361-362-6050.  
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TODAY'S DATE *
MM
/
DD
STUDENT ID# *
GRADE LEVEL *
HOMEROOM TEACHER *
In the last 14 days have you had any contact with anyone that is/has tested positive for COVID-19? *
Is your child or family member currently waiting on a COVID-19 test result as a result of doctor's orders or recent exposure? *
Has your child begun experiencing ANY of the following symptoms in a way that is not normal for your child?  New or worsening cough or shortening of breath/difficulty breathing, loss of taste or smell, headache, chills, sore throat, shaking/exaggerted shivering, muscle/body aches, congestion/runny nose, nausea/vomiting, diarrhea? *
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