School Attendance
Please mark your child's attendance before entering the building:
1. Please enter the adult's full name at drop off: *
2. Please enter the child's first name: *
3. Please enter the child's last name: *
4. Does your child feel feverish or has a temperature above 100.0 degrees F since the last child care site? Or, in the past 14 days? *
5. Please select any symptoms that your child is exhibiting within the past 14 days. If your child does not exhibit any symptoms, please select "None". *
Required
6. Has your child been exposed to close, prolonged contact with anyone known to have COVID-19 or anyone who has symptoms of COVID-19 since yesterday? Or, in the past 14 days? The symptoms may include: fever, sore throat, nasal congestion, runny nose, cough, headaches, body aches, fatigue, nausea, vomiting, diarrhea, and loss of taste/smell. *
7. Please list the recorded temperature taken by the parent/guardian on site below. *
8. I, as the parent/guardian of this child, agree that the above questions were verified and answered truthfully. *
9. The ECS staff has the right to re-asses the child's health assessment and retake the child's temperature if he/she appears to look ill upon arrival at school. *
Additional comments or notes:
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