Daily Health Screening Questions -SACA
Please complete this screening form each day before arriving to school.  
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1. If your child has any of the following symptoms, that indicates a possible illness that may decrease the student’s ability to learn and also put them at risk for spreading illness to others.                                                     Does your child have any of these symptoms:· *
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To the best of your knowledge, in the past 14 days, has your child been in close contact (within 6 feet for at least 10 minutes) with anyone who has tested positive through a diagnostic test for COVID-19 or who has or had symptoms of COVID-19 *
Has your child traveled internationally or from a state with widespread community transmission of COVID-19 per the New York State Travel Advisory in the past 14 days. *
Parent Name *
Student(s) Grade *
Student(s) Name *
Student(s) Number (For now put grade  but students will be assigned a # to make tracking easier in the data base) *
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