Parent Responsibilities for Student Health and Safety
Following the BC Back to School Plan and St. John Brebeuf's Healthy and Safety Plan, it is the responsibility of the parent/guardian to screen their child everyday before they come to school. Please complete the following form indicating that you understand what is expected of you, as a parent/guardian, when screening your child before they  leave the house.
By submitting this form you are agreeing to complete the Health Screening each day with your child.
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Email *
Parent's Last Name *
Parent's First Name *
Students Last Name (If children have the same last name you may fill this out only once. If they have different last names, please fill out a separate form.) *
Students First Name (If children have the same last name, you may list all first names here) *
Before my child leaves the house I will ask them the following questions (Please check off all boxes to indicate that you are agreeing to ask them these questions) Are you experiencing any of the following: *
Required
If your child answered "YES" to any of the questions, and the symptoms are not related to a pre-existing condition (eg. allergies), your son or daughter should not come to school. *
Required
If my child shows any of these symptoms while at school, I understand that they will need to be picked up immediately. *
Required
Your child has a mask with them to wear at school and on the bus. *
Required
By submitting this form I am agreeing to all the items above, including performing a Health Check on my child everyday before they leave for school, and ensuring that they have a mask every day.   *
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