FORMS & SPECIAL EVENTS
MEET OUR STAFF
COVID-19 Precaution Questions
(per CDC guidelines)
Child's First Name
Child's Last Name
Have you been in contact with anyone with COVID-19 in the past 14 days?
In the past 24 hours have you experienced persistent cough of shortness of breath?
In the past 24 hours, have you experienced two or more of these symptoms: new lost of taste or smell, body aches, sore throat, fever, chills, diarrhea, muscle pain, headache?
Have you travelled into a high risk state or out of the country in the last two weeks?
I have read these questions and agree to inform the school if the answer to any of them is yes.
I agree to refrain from sending my child to school if the answer to any of these questions is yes.
Thanks for submitting!