The health and safety of our students and staff is our top priority. To help mitigate the spread of Covid-19, we will be sending this monthly symptoms awareness sign-off form.

If you or your child exhibit any of the symptoms below (regardless of vaccination status), remain home and contact the school nurse. Unvaccinated siblings of a student who has symptoms should be excluded from school until the symptomatic individual receives a negative test result. If the symptomatic individual tests positive, the sibling will need to quarantine.

Any of the symptoms below could indicate a COVID-19 infection. Please note that this list does not include all possible symptoms and individuals with COVID-19 may experience any, all, or none of these symptoms. Please monitor daily for the following symptoms:

List A (2 symptoms)
● fever (100.4 or higher)
● chills
● rigors (shivers)
● myalgia (muscle aches)
● headache
● sore throat
● nausea or vomiting
● diarrhea
● fatigue
● congestion or runny nose

List B (1 symptom)
● cough
● shortness of breath
● difficulty breathing
● new loss of taste or smell

Individuals who are sick (e.g. fever of 100.4 or higher, vomiting, diarrhea) should not attend school. If TWO OR MORE symptoms in list A are exhibited OR AT LEAST ONE symptom in list B is exhibited, remain home. If COVID-19 symptoms are present, your child should not return to school until a negative viral test (PCR or rapid test; home tests are not acceptable) is presented OR an isolation period of at least 10 days since symptom onset and at least 24 hours after resolution of fever without fever reducing medication with symptom improvement has been completed. Additionally, do any of the additional criteria below pertain to your child? If so, DO NOT send your child to school and contact the school nurse.

● My child has been identified as a close contact of someone who has symptoms associated with COVID-19 (close
contact is defined as being within 6 feet of an infected individual for a period of 15 minutes or more in a 24 hour
period)
● My child has tested positive for COVID-19
● My child has been advised to isolate or self-quarantine by a government agency or physician
● My child has traveled to a location that requires a mandatory period of quarantine
● Someone in my household is awaiting COVID-19 test results or has tested positive

I have read all of the information above and understand my responsibilities.
Parent/Guardian E-Signature Below.

December, 2021