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Covid Screening
Please fill out this form each day by 2PM before dropping your child off at the 9th
St/PPW entrance.
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Email
*
Your email
Has your child had covid symptoms in the last 14 days? (cough, fever, chills, muscle pain, sore throat, shortness of breath, new loss of taste or smell?
*
Yes
No
Has your child tested positive for Covid-19 in the past 14 days?
*
Yes
No
Has a member of the household or close contact of the child been confirmed or suspected of having Covid-19 in the past 14 days?
*
Yes
No
Has your child/member of the household traveled outside the tri-state area in the past 14 days?
*
Yes
No
Child's Name (first, last)
*
Your answer
Date
*
MM
/
DD
/
YYYY
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