Arrival Health Screening for Students and visitors to St. Mary's School.

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Please answer the questions about your student's health before they are allowed on campus

Name *

Grade or Relationship *

Do you have any of these symptoms that are not caused by another condition? Fever (over 100.4 in the last 24 hours) or chills, Cough, Shortness of breath or difficulty breathing, Fatigue, Muscle or body aches, Headache, Recent loss of taste or smell, Sore throat, Congestion, Nausea or vomiting, Diarrhea *

Yes

Enter your child's temperature. *

Have you been contacted by the Department of Health and/or placed under self-quarantine for COVID-19 for any reason *

Yes

Have you tested positive for COVID-19 un the past 14 days? *

Yes

I certify that the above answers are true and correct to the best of my knowledge. I understand that a false answer may have repercussions. *

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