Guest Attestation Form

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To maintain a safe work environment for all of our employees, volunteers, and vendors, the Wahluke School District, DOH, and L&I requires that all guest visitors screen themselves for COVID symptoms and complete our Guest Health Attestation Screening form before, or upon arrival at any of our District facilities.

The screening form is available on our website (link provided) and as a paper format in each District buildings.
**Must be able to answer “NO” to both questions to be able to be on-campus.**

NAME: First and Last name. – Name of Organization, if any. – NOMBRE: Nombre y Apellido. - Nombre de la organización, si la hubiera. *

DATE: – FECHA: *

YYYY

PHONE OR EMAIL: – TELÉFONO O CORREO ELECTRÓNICO: *

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