Kahnawake Education Centre COVID-19 Daily Health Check.
Covid Self Reporting
Email address *
Date *
name *
Have you been out of the country in the last 14 days? *
Is any member of the household currently awaiting a COVID-19 test result? If so you must stay home for the duration of isolation of the family member.
Have you been in contact with anyone who has tested positive for COVID 19 in the last 14 days? *
Does your student or you (if staff) have any of the following symptoms *
Will you be working from the office today? If you have answered YES to either of the above questions or exhibit symptoms listed above DO NOT COME INTO THE OFFICE and follow the instructions provided below.
Do you have to stay home due to a family member or child showing symptoms/awaiting test results?
I acknowledge that I have read this, and understand that COVID_19 is highly contagious, and that if my child or me (if staff) has any of the above symptoms they will stay home and contact the KMHC Testing Center to determine if they need to be tested for COVID-19. Phone number of the testing site (450-638-3930 ext. 2296 or ext. 2275)) Let’s make school FUN, EDUCATIONAL and SAFE. I UNDERSTAND *
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