OES UPPER SCHOOL STUDENT DAILY HEALTH SCREENING
Please complete this form each day prior to coming to campus. You will not be allowed to participate in activities on campus without completing and passing this health screening.
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Student last name
Student first name
My family and I have read and we agree to uphold the Aardvark Community Agreements to prevent the spread of COVID-19.
No, and THEREFORE I WILL NOT GO TO OES TODAY
Why are you coming to campus today? (Please select all that apply)
If you will be participating in athletics, please check which sport:
Please take your temperature and check the answer that applies:
My temperature is below 100.0 degrees Fahrenheit today.
My temperature is above 100.0 degrees Fahrenheit AND THEREFORE I WILL NOT GO TO OES TODAY.
Symptoms of COVID-19 include, but are not limited to, the following symptoms. Please consider carefully whether you currently have, or you have experienced within the past 24 hours, any of the following:
- Chills or fever of 100.0 F or higher
- New loss of smell or taste
- Muscle or body aches
- Sore throat
- Congestion or runny nose
- Shortness of breath or difficulty breathing
- Nausea, vomiting, and/or stomach pain
- Loss of appetite
I am not currently experiencing, nor have I experienced in the past 24 hours, any of the symptoms listed above.
I currently have, or have had within the past 24 hours, one or more of the symptoms listed above AND THEREFORE I WILL NOT GO TO OES TODAY.
I am fully vaccinated (at least 2 weeks past the final injection)
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This form was created inside of Oregon Episcopal School.