By submitting your name and your child's name below, you are attesting that you will take your child’s temperature each day before school and will not send your child to school if he/she has a temperature over 100.0º F. You are also attesting that you will not send your child to school if he/she exhibits any of the common symptoms associated with COVID-19, including those listed below and any others identified by the Department of Health following completion of this form:
• A temperature of 100.0º F or greater
• Feel feverish or have chills
• Cough
• Loss of taste or smell
• Fatigue/feeling of tiredness
• Sore throat
• Shortness of breath or trouble breathing
• Nausea, vomiting, diarrhea
• Muscle pain or body aches
• Headaches
• Nasal congestion/runny nose