COVID Attestation Form-March
Monthly Attestation for COVID-19 Screening. By signing this form monthly you agree to perform the following symptom check daily on your student before they leave for school. If your student has ANY of the symptoms listed below they are to stay home and follow the District guidelines.
Student's Last Name: *
Student's First Name: *
School and Grade *
Please check EACH box to show that you have read and agree to check for these symptoms. *
Required
Signature- by typing your name you are acknowledging that you have read and agree to check for the above symptoms. If your student has any of these symptoms keep them home and contact the school. *
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