April Student Daily Health Form
Parent: please complete this form daily before 8:00 AM.
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Email *
Student Name: *
1. Is your child , or a household member currently waiting for the results of a COVID-19 test? *
2.  In the past 10 days, Has your child experienced any symptoms of COVID-19 , including a fever of 100.0 F or greater, new cough, loss of taste or smell, shortness of breath, sore throat, headache, nasal congestion, runny nose (sniffles), stomach upset? *
3.  In the past 10 days has your child gotten a lab confirmed positive COVID-19 test result (not  a blood test) that was their first positive COVID-19 result OR was 90 days from their previous positive COVID-19 result? Please note the 10 days is measured from the day you were tested, not the day you received the results. *
4.  To the best of your knowledge , in the past 10 days has your child been in close contact (within 6 feet for at least 10 minutes over 24 hour period) with anyone who has tested positive for COVID -19 or who has been told they have symptoms of COVID-19 ?No                   *
5.  In the past 10 days has your child or a household member returned from an international destination? *
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