Daily Health Screening Summer 2021
The following requirements must be adhered to in order to participate in summer programs as a student or enter the buildings as a staff member this summer:

1. Wear a mask that covers the nose and mouth
2. Check temperature before leaving home and entering the school building
3. Inform the nurse of a fever (≥ 99.0 oF), cough, shortness of breath, difficulty breathing, or new loss of taste or smell in the LAST 14 DAYS before the school day
4. Stay home and inform the nurse if TWO OR MORE of these symptoms are evident on THE MORNING OF THE SCHOOL DAY: rigors (chills), muscle aches, headache, sore throat, nausea, vomiting, diarrhea, congestion, runny nose, or fatigue
5. Stay home and inform the nurse of close contact with someone who has been diagnosed with COVID-19 or someone who has COVID-19 symptoms in the past 14 days before the school day if NOT FULLY VACCINATED
6. Stay home and inform the nurse of travel outside of New Jersey, New York, Connecticut, Pennsylvania, and Delaware within the past 10 days before the school day if NOT FULLY VACCINATED
7. Stay home and inform the nurse of other symptoms of transmittable illnesses, such as diarrhea and vomiting.

You must complete the form below ONE TIME for each child or staff member participating in summer programs. By submitting this form, you are electronically agreeing to adhere to the above requirements for yourself (for staff) or your child (for students) for the duration of the summer program. Completion of this form is required for participation in Summer Programs at Metuchen School District. Students who are only remote this summer, do not have to complete the form. If your child is not participating in a district sponsored program, you do NOT need to complete this form.
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Email *
Are you completing this agreement for yourself as a staff member or your child as a student? *
Last Name (of participating student or staff member) *
First Name (of participating student or staff member) *
Location of Summer Program (check all that apply) *
I have read the requirements and agree to adhere to the guidelines. *
Submit one form for each child. If you have any health related questions, please contact the school nurse. If you need other assistance, contact your school administrator.
Moss Summer Nurse- Nga Pham- npham@metboe.k12.nj.us or 732 321-8700, ext. 2003
Campbell Summer Nurse- Amanda Marciante- amarciante@metboe.k12.nj.us or 732 321-8777, ext. 3015
Edgar and MHS Summer Nurse- Janice Billik- jmbillik@metboe.k12.nj.us or 732 321-8770, ext. 4015
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