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Student Covid-19 Temperature Check-In

Child's Name

Parent/Guardian Name

Parent/Guardian Tele #

Is your child temperature below 100 degrees (F)?

In the last 24 hrs did your child experience any of these symptoms (click all that applies)

Have you/anyone in your household knowingly been in close or proximate contact in the past 14 days with anyone who has tested positive through a diagnostic test for COVID-19 or who has or had symptoms of COVID-19?

Have you/anyone in your house tested positive through a diagnostic test for COVID-19 in the past 14 days?

Have you/anyone in your household experienced any symptoms of COVID-19, including a temperature of greater than 100.00 degrees Fahrenheit in the past 14 days

Have you/anyone in your house traveled internationally or from a state with a widespread community transmission of COVID-19 per the New York Travel Advisory in the past 14 days?

If you answered yes to any of these questions, your child MUST stay home, and be tested for COVID 19. Your child must have a negative COVID 19 test, or the quarantine period must have passed (10 days) before he/she can be admitted back to school.  This negative COVID 19 test must be sent to our Administrative office. If your child has tested positive, warning letters will be distributed to all families by the building principal and Directors, who have been in contact with your child.

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