Wyoming - Daily Health Screening for Students
This form must be completed for EACH child each day by 7:45 am or your child will not be allowed to attend school. If you answer YES to any of the questions below you must KEEP YOUR CHILD HOME and call the school nurse. Please follow the school's attendance procedures if your child is ill.
Sign in to Google to save your progress. Learn more
Email *
Child's FIRST Name *
Child's LAST Name *
Child's grade *
My Child's teacher is *
Has your child, or anyone in your household, had a fever of 100 or more in the last 24 hours? *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Millburn Township Public Schools. Report Abuse