COVID-19 Daily Screening Attestation Form

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COVID-19 Daily Screening Attestation Form – STUDENTS

Dear Parent/Guardian,

Please complete ONE form per child.This attestation form must be completed and submitted prior to your child attending school for the 2020/21 school year. Please submit this form by Tuesday, September 8, 2020. In the event of a school closure or extended absence, this District may request a new form be completed.

My Child's Name Is... *

My Child's School Is:

Jacques Memorial School

Heron Pond

Milford Middle School / Project Drive

Milford High School / Project Drive

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My Child's Grade Is:

Preschool

Kindergarten

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

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