Forest Elementary School
School District 62 Student COVID-19 Self Certification Form

Formulario de Autocertificación COVID-19 para Estudiantes del Distrito Escolar 62

This form must be completed for *each* student, before they come to school.

Este formulario debe ser completado para * cada * estudiante, todos los días que venga a la escuela en persona.
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Name of the family member submitting this form: (Nombre del miembro de la familia que someterá este formulario) *
Student First Name: (Nombre del estudiante) *
Student Last Name: (Apellido del estudiante) *
How will your student be arriving at school today? (¿Cómo llegará hoy su estudiante a la escuela?) *
Grade: (Grado) *
Classroom Teacher: (Maestro de salón) *
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