COVID Daily Screening
This is for parents to fill out prior to EACH SCHOOL DAY and will serve as a daily screening of contact and symptoms.

IMPORTANT TO NOTE: if you answer yes to any of the following questions OR if your student has TWO or more of the listed symptoms, you are asked not to have your student attend school for the day and our office staff will be in contact with you on how to proceed.
Student's Name (if multiple students, list all here): *
In the last 14 days, have you been in direct (one-to-one) contact with anyone confirmed or suspected to have COVID-19 (Novel Coronavirus)? *
In the last 14 days, have you have you had a pending or positive test for COVID-19 (Novel Coronavirus)? *
In the last 14 days, have you experienced any of the following symptoms (CHECK ALL THAT APPLY): *
Required
Is there anything that FCS staff/faculty needs to be aware of concerning your family and COVID-19
Submit
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