L'école - French School of Raleigh COVID questionnaire
2020-21 PRESCHOOL and KINDERGARTEN COVID QUESTIONNAIRE

Please fill this questionnaire before you bring your child to school to evaluate your risk of being infected with COVID 19.

Students who have symptoms of acute respiratory illness are recommended to notify their supervisor if they have signs of a fever and any other symptoms within at least 24 hours, without the use of fever-reducing or other symptom-altering medicines (e.g. cough suppressants), and stay home until they are free of fever (100.4° F [38.0° C] or less using an oral thermometer)
Name of the child: *
Select class: *
First name and Last name of the parent *
Do you have any of the following? *
Required
Are you ill, or caring for someone who is ill? *
• Students who are well but who have a sick family member at home with COVID-19 should notify the school.• If a student is confirmed to have COVID-19, the family should inform the school of their possible exposure to COVID-19. The school will maintain confidentiality as required by the Americans with Disabilities Act (ADA).
In the two weeks before you felt sick *
Required
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