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Covid-19 Health Declaration
How are you feeling today?
First Name
Last Name
Child's Name
Body temperature is lower than 98.6°F/ 37.5°C
Not experiencing the symptoms: fever, cough, sore throat
Hasn’t been in close contact with a Covid-19 patient in the last 14 days
Staff Member Initials
Date
Reminder: Mask Are Required
Campus Location
Choose a Campus
Submit
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