OK to Enter Building

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Complete this form daily for your household if you answered NO to ALL questions on the daily screening. This form acknowledges compliance with St. Mary's School Policy and verifies you meet all requirements to enter the building (your child's temperature will be taken at school). One separate form must be filled out for each child.

Child's Name *

Teacher *

Name of Responsible Party *

Phone Number of Responsible Party *

I hereby acknowledge I have read and understand the requirements for entry into St. Mary's School and meet all requirements for my child to enter the building.

OK TO ENTER

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