Trimpe Middle School Form
Students will be required to fill out this form every morning Monday through Friday. Your student's health and safety is our priority everyday. If you check yes to any question, you must stay home and call the school.
What is your School ID Number?
Today my student is
a remote learner and present.
an in-person learner.
Are you taking fever-reducing medicines, such as those that contain aspirin, ibuprofen, or acetaminophen, in order to reduce your fever?
Is anyone in your household awaiting the results of COVID-19 test?
Have you been directed to self-quarantine by a health care provider or health department?
Have you tested positive for COVID-19?
Are you experiencing ANY of the following symptoms? If you SELECT any of these symptoms, you SHOULD NOT report to school.
Fever over 100.4
New onset of moderate to severe headache
New congestion/runny nose
New loss of sense of taste or smell
Abdominal Pain from unknown causes
Fatigue from unknown causes
Shortness of breath
Muscle or body aches
If your child is staying home for a pre-existing condition (we should have this documentation on file for a pre-existing condition) or for something that is not on this list, please explain that below and contact the school.
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This form was created inside of Bethalto Comm Unit Sch Dist 8.