COVID-19 Screening - Students (Online)
Parents need to use this form to pre-screen their child before arriving at school. A staff member will take the child's temperature will when the child arrives at school.
Student's Last Name *
Student's First Name *
To the best of your knowledge, in the last 14 days, have you or any member of your household had any close contact with someone diagnosed with COVID-19 or with someone who is being tested for COVID-19? *
Have you had any signs or symptoms of fever in the past 24 hours such as chills, sweats, felt "feverish" or had a temperature that is elevated for you? *
If your child is running a fever, do not send them to school. They must be fever-free for 72 hours without the use of medication before returning.
Do you or anyone in your household have any of the following symptoms? *
Additionally, do you or anyone in your household have any of the following symptoms? *
If your child has any of the following symptoms PLUS any one symptom from the list above, do not send them to school.
Have you traveled internationally or outside of the state in the last 14 days? *
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