COVID-19 Health Screening: Required Weekly
The health and well-being of our students, staff, and community starts with responsibly screening for symptoms of COVID-19 at home. If your child has signs of illness he or she SHOULD NOT report to school until all symptoms have cleared.

This form must be submitted by 8:00am on Monday morning. Students who do not have a cleared health screening on file each week will be quarantined in the campus nurse's office until a parent can be contacted.
Last Name *
First Name *
What grade level was your child in for the 2019-2020 school year? *
Parent Phone Number *
Has your child been in contact with anyone who has tested positive for the COVID-19 virus within the last 14 days? *
Has your child had a fever over 100.0 in the last 24 hours or had any two or more of the following symptoms: cough, chills, repeated shaking with chills, muscle pain/aches, headache, sore throat, loss of taste or smell, or diarrhea? *
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