FPS Covid 19- Health Screening
Please fill out this form every morning before your child arrives at school
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Email *
Date *
MM
/
DD
/
YYYY
Student Name *
Grade *
Do you have a temperature over 100.4 F? *
Do you have any of the following symptoms? *
Required
In last 14 days prior, has our child: (Check if YES) *
Required
By checking this box, I confirm the above statements to be true to the best of my knowledge. *
Required
E-Signature (Parent's Name) *
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