YB/BC Visitor Screening-Please submit one screening per visitor(Adult and/or child). Upon your arrival to campus, first check in with our front office. Thank you!
IMPORTANT: If you or someone in your household are sick and/or have any of the symptoms below, please do not enter the school building but reschedule your appointment for a later time.
Email address *
Name: *
Phone Number *
Who do you have an appointment with?
Have you had a fever in last 72 hours? *
Required
Have you had a cough, difficulty breathing or shortness of breath related to illness in last 72 hours? *
Required
Have you taken any fever reducing medication (ie. Tylenol, Advil, or Motrin) in the last 72 hours? *
Required
Have you been in contact with anyone suspected of or tested positive for COVID-19 in last 14 days? *
For Health Office Use only upon arrival-Actual Temperature taken:
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