COVID-19 Student Assessment

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The health and safety of our students and staff is of the utmost importance us. Please complete this mandatory checklist on behalf of your child to determine if your child may attend school. If you answer "yes" to ANY question, you must keep your child home and contact your building's school nurse. If your child is learning remotely today, you do not need to fill out this form.

Student's first and last name: *

Please use your child's full first and last name (ex: Christopher instead of Chris).

Building your child will be attending: *

E.A. McAllister Elementary

J.D. George Elementary

W.A. Wettel Elementary

Middle School

High School

Has your child experienced any symptoms of COVID-19, including a temperature of greater than 100.0° F, in the past 10 days (including today)? *

Yes (If yes, has your child been otherwise diagnosed by a physician with a note provided to the school nurse? If no, for the health and safety of others, your child must not attend school on this day. Please contact your school nurse).

Has your child knowingly been in close or proximate contact in the past 10 days with anyone who has tested positive through a diagnostic test for COVID-19 or who has had symptoms of COVID-19? *

Yes (If yes, for the health and safety of others, your child must not attend school on this day, unless your child has been cleared by the local health department or the district. Please contact your school nurse).

Has your child tested positive through a diagnostic test for COVID-19 in the past 10 days? *

Yes (If yes, for the health and safety of others, your child must not attend school on this day. Please contact your school nurse).

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