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Monitor to Stay Attestation
This form is for exposed students who are not vaccinated or up to date on the COVID-19 Vaccine. Please submit each day for five days after exposure.
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Name
*
Your answer
Temperature
*
Your answer
Has your child had any of the following symptoms in the past twenty four hours? Please check all that apply.
Cough
Shortness of Breath or Difficulty Breathing
Fever or Chills
Muscle or Body Aches
Sore Throat
Headache
Nausea or Vomiting
Diarrhea
Runny or Stuffy Nose
Fatigue
Loss of Taste or Smell
If your child has any of the above symptoms, they need to stay home and get tested.
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