Creekside Covid-19 Safety Pledge

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In order to foster the safety of our students, staff, and parents in our Creekside community, and in accordance with our school’s motto, our Parents, Staff, Students, and Community go the EXTRA mile for our Crocodiles, I pledge to uphold the following commitments on a daily basis:

Please answer each of the mandatory questions:

What is your child's name? *

Teacher's Name: *

Child #2

Grade level

Teachers name

Name of 3rd Child

Grade Level

Teachers name

COVID - 19 Pledge

Do you uphold the Safety Covid-19 Pledge? *

Option 1

Conduct a health and symptom screening before my child arrives at school each day.

Fever
Cough
Shortness of breath or difficulty breathing
Sore throat
Chills
Fatigue
Headache
Muscle or body aches
New loss of taste or smell
Congestion or runny nose
Nausea or vomiting
Diarrhea
Do you have a household member with COVID-19?
Have you had close contact with someone who tested positive for COVID-19?
Has your family traveled outside of NC within the past 14 days

If I answer yes to any of the following Covid Questions above I agree to keep my child home and if I have any questions or doubts to contact Nurse Jennifer Schnorenberg. *

Yes

If I mark this box I understand that I will have to answer these COVID questions each morning before my child exits the car or enters the school bus

Required

Place your initials in the space provided to pledge to do each of the following to ensure Safety of our Creekside students & staff.

Place Initials in the box provided:

Conduct a morning temperature check before my child arrives at school each day. If the temperature reads 100 or above, I will keep my child at home for the day. Em *

Refrain from sending my child to school if they are exhibiting any symptoms (listed above) as potentially related to COVID-19 *

Abstain from providing fever reducing medicines before sending my child (children) to school EM *

Keep my child (children) home when they are sick or exhibiting symptoms of general illness. EM *

If my child (children) ride a bus, I will be at the bus stop as required by CCS, until the bus arrives and my child (children) have safely boarded the bus. Em *

I also pledge to be available to be contacted and able to come and pick up my child (children) if they fall ill or begin to exhibit any of the above symptoms during the school day. EM *

Name of Parent completing this survey below: Evan Moore *

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