CCP Wellness Screening

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Please complete this screening for your child each morning before you send them to school. This form is not required for remote students. We will be using this survey until Pick UP Patrol is launched.

Please select your teacher: *

Ms. Pfaff- Pre-School

Ms. Cardarelle- Kindergarten

Ms. Zach- Kindergarten

Mrs. K. Johnson- Kindergarten

Mrs. Ferguson- 1st Grade

Mrs. H. Johnson- 1st Grade

Ms. Hoglund- Second Grade

Ms. Chebuhar- Special Education Days

Please list your child's first and last name that attends CCP. *

In the last 24 hours, has your child experienced any of the following in a way not normal to them: Fever, chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste of smell, sore throat, congestion or runny nose, nausea or vomiting, or diarrhea? *

YES- Please keep your child home 72 hours past the last symptom

NO- Please send your child to school

In the last 14 days, have you been in close contact with a suspected or confirmed case of COVID-19 or tested positive yourself? *

YES- Please keep your child at home for 14 days from exposure date

No- Please send your child to school

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