Ms. Zeller Covid-19 Daily Self-Checklist
Parents/Guardian: Please review this Covid-19 Daily Self Checklist every day for each WCSD student in your household.  If your child/student has a temperature of 100F or greater and/or symptoms of possible COVID-19 virus infection they will not be able to be present in the school. Please contact the school clinic right away for guidance and directions.
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Student First Name *
Student Last Name *
Name of person completing this form.
Date *
MM
/
DD
/
YYYY
Do you have a temperature at or above 100 F (37.7 C)?  Note that this refers to your temperature taken TODAY and WITHOUT the use of fever-reducing medication. *
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