Student Entry Screening Form
Complete this form by 7:15 am for each day that your student is on campus.
A separate screening form must be completed for each student.
Student will not be allowed entry without a submitted form.
Car Line Number
Does your student have any of these symptoms (not related to chronic, known conditions or seasonal allergies): chills, muscle aches, sore throat, nausea, fatigue, congestion/runny nose, fever (100.4 or greater), cough, shortness of breath, difficulty breathing, new lost of taste/smell, vomiting, diarrhea?
Has your student or anyone in your household tested positive for COVID 19 in the last 14 days OR have had close contact (within 6 feet for 15 minutes or more) with a confirmed or suspected COVID 19 case in the last 14 days?
If you have answered yes to any of the above questions, please keep your student home and notify the school for further instructions.
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This form was created inside of Sherwood Charter School.