Health Screening Check-in Form
Please complete this check-in form to keep our students, teachers, and staff healthy and safe. Complete this BEFORE you leave your house. You need to show the email verification to a KZV Staff member during morning dropoff.
Email kzvoffice@kzv.org if you have any questions.or to report your child absent.
Email address *
First and last name of Parent/Guardian completing this form. *
Student First Name(s) *
Student Last Name *
Grades *
Check all That apply
Required
Did your child have close contact with a person with confirmed COVID-19 for at least 15minutes within 6 feet or within the same pod/cohort (if under 12)? *
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