ST. PATRICK REGIONAL SECONDARY SCHOOL HEALTH & SCREENING FORM
PARENTS/GUARDIANS: Please fill in this form BEFORE you drop off your child, or BEFORE your child arrives unattended to the school. She/he will be asked to confirm that she/he is in good health each day prior to being admitted to the school buildings. If you answer "yes" to any of the questions, your child will not be allowed to attend and she/he must remain home until she/he can answer "no" to all of these questions.

STUDENTS: When you arrive to the school, you will be asked to confirm that you are well enough each day prior to being admitted to any of the buildings. If you/your parent/guardian answered "yes" to any of the questions below, you will NOT be allowed to attend that day and you will have to remain at home until you can answer "no" to all of the questions.
Email address *
Child's SURNAME *
Child's FRIST Name *
How are you feeling today? *
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