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Health Screening Certification

- PARENT RESOURCES

Health Screening Acknowledgement (Required)
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- PLEASE READ AND RE-ACKNOWLEDGE THE FOLLOWING HEALTH AND SAFETY SCREENING GUIDELINES (MUST BE COMPLETED BEFORE RETURNING TO IN-PERSON INSTRUCTION PRIOR TO THE SCHOOL YEAR IN AUGUST AND AFTER HOLIDAY BREAK IN JANUARY 2021)
  
  If your child(ren) has any of the following symptoms, this indicates illness which may decrease your child’s ability to learn and also puts them at risk for spreading illness to others.
  
  Your child(ren) must be checked for these symptoms each day BEFORE arriving at school. If any of these symptoms are present, he/she may not come to school. They must be symptom free for 72 hours to return to school.
  
  NOTE: If your child has seasonal allergies, please provide a note from your pediatrician stating this so that staff and administration do not mistake this for symptoms of illness.
- By checking the boxes below I am acknowledging that I will screen my child(ren) on a daily basis, prior to school, for any of the following symptoms: REQUIRED Temperature above 99.6 Sore throat Diarrhea Vomiting Cough Sudden loss of taste or smell Severe headache Please fill out this field.
- By checking this box I agree to random temperature checks of my student(s) by St. Bernadette staff during the school day REQUIRED I agree Please fill out this field.
- Name of Student #1 REQUIRED Please fill out this field. Please enter valid data.
- Name of Student #2 (if applicable) Please enter valid data.
- Name of Student #3 (if applicable) Please enter valid data.
- Name of Student #4 (if applicable) Please enter valid data.
- Health Screening Certification REQUIRED By checking this box I acknowledge that I have read and understand the information presented above and agree to follow these procedures and guidelines to sustain a healthy and safe school environment for all students attending St. Bernadette School. Please fill out this field.
- Name of Parent/Guardian REQUIRED Please fill out this field. Please enter valid data.
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