Groton CSD Health Screening Acknowledgment
In lieu of the daily attestation survey, parents are asked to complete this one-time annual health screening acknowledgment. In doing so, parents agree to assess their children daily BEFORE sending them to school.

If your child has a fever (100.4 or higher), COVID symptoms (cough, headache, sore throat, running nose, etc.) or if he/she has been exposed to anyone who has tested positive for COVID in the past ten days please KEEP YOUR CHILD HOME until they are symptom free.

PLEASE COMPLETE ONE SURVEY FOR EACH CHILD YOU HAVE ATTENDING GROTON CSD

Please complete the health screen acknowledgment for your children before Wednesday, September 8, 2021. Thank you!
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PLEASE COMPLETE ONE SURVEY FOR EACH CHILD YOU HAVE ATTENDING GROTON CSD
Parent Name (First and Last) *
Parent Email Address
Student's Last Name *
Student's First Name *
Student's Grade (as of Sept. 2021) *
Name of the person completing this form (First and Last) *
Relationship to the student *
Yes, I am in agreement with the following statement, "I am attesting that my student will be monitored for COVID-19 symptoms every day before coming to school AND I will not send my child to school if they have any COVID-19 symptoms. *
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