Daily At-Home Self Evaluation Screening Agreement For Jackson Parents/Guardians
Please read the document below and answer the questions that follow.
Student's First Name
Student's Last Name
Student's ID# (same as computer login)
I have read the at-home self evaluation agreement. I understand that it is my responsibility to conduct the at-home self assessment every day before sending my child to school, and agree to keep my child home if he/she is experiencing any symptoms. Please check to indicate you agree.
Parent's Name (Typing your name in the space below denotes your signature.)
Parent's Phone Number
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This form was created inside of Paramount Unified School District.