Daily Covid Health Screening Form
Please complete & submit 1 per family before coming to school.
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Name(s): *
Date: *
Are you experiencing symptoms such as fever (>100.4 degrees), cough or shortness of breath? *
Have you been in close contact with anyone who may have COVID-19? *
Are you currently in close contact with anyone who has symptoms or has been confirmed positive for COVID-19? *
Have you been on a cruise or traveled internationally in the last 14 days? *
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