MJDS Daily Screening Tool : Should I stay home?
This daily pre-screening tool must be completed once for each child or adult entering the building, and is to be completed at least 15 minutes before entering. In the event that a "yes" is identified or a temperature of 100 degrees Fahrenheit or above is measured, please call the front office, 414-964-1499, or email attendance@mjds.org, to notify of absence. Follow up with your pediatrician and/or primary care physician as necessary.
FIRST Name of Student/ Staff / Visitor *
LAST Name of Student/ Staff / Visitor *
Student / Staff / Visitor Specification *
Next
Never submit passwords through Google Forms.
This form was created inside of Milwaukee Jewish Day School. Report Abuse