At Home COVID-19 Pre-Screening
Please answer all questions honestly. If your child exhibits any of the symptoms below at any time during the day, they will be sent home.
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Child's Last Name *
Child's First Name *
Child's Grade *
Within the last 24 hours, has your child exhibited any of the following symptoms: Fever or chills, Cough, Shortness of breath or difficulty breathing, Fatigue, Muscle or body aches, Headache, New loss of taste or smell, Sore throat, Congestion or runny nose, Nausea or vomiting, Diarrhea *
If you answered yes to the previous question, what symptom(s) has your child exhibited? Indicate any and all symptoms.
By typing my name below I agree that I have completed this Screening with complete honesty and I agree that if my child has any of the symptoms listed above, I will not bring him/her to campus until the symptom(s) have subsided for 24 hours without medication. *
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