Farmington Daily Health Screening Agreement
Parents/Guardians will be required to conduct a daily health screening before sending their child to school. We are asking families to complete this form for each child.  By completing this form, you are agreeing to do the daily health screen throughout the school year.  
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Email *
Students and Staff should remain at home if they have any of the following symptoms:
Child's First Name *
Child's Last Name *
Parent First Name *
Parent Last Name *
By dating below I acknowledge I have reviewed the Daily Health Screen Agreement *
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*By sending your child to school each day, you are affirming that your child does not have any of the above symptoms.  All families will be required to acknowledge this form, pledging to strictly follow the daily health screening and only sending their child/ren when they are symptom-free. *
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