Symptom-Free Certification Form
Please complete this form daily for each child riding the school bus to school. Mark the check box next to symptom-free or mark all of the COVID-19 symptoms your child is experiencing. If they are symptom-free, send them on the bus and we will see them at school! If they are experiencing any symptoms, please keep them home and notify the office.
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Your Name (First & Last)
Child's Name (First & Last)
Mark the check box next to symptom-free or mark all of the COVID-19 symptoms your child is experiencing.
Fever above 100.4 F
Cough, Chills, &/or Muscle Aches
Sore Throat, Runny Nose, &/or Loss of Taste or Smell
Nausea, Vomiting, &/or Diarrhea
Shortness of Breath &/or Headache
Close Contact with someone with COVID-19
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This form was created inside of Williamsfield School District #210.