Temperature Form

~ ATTENTION ~
Due to staff members requiring a second dose of the COVID vaccine receiving it on March 8, 2021, we will be doing REMOTE LEARNING, district wide, on Tuesday, March 9, and Wednesday, March 10, 2021. We are trying to be proactive in case we have staff members who might have side effects requiring them to stay home and not have enough substitutes to cover all of the absences. This could possibly affect all areas. Thank you!

Temperature Form

Temperature Form
To be completed when student/staff member has symptoms of COVID 19.

Name
Grade
Building
Staff Member or Parent's Email Address
Date Form Submitted
Current Temperature
Time Temperature Taken
Have you had a cough, shortness of breath/difficulty breathing, a fever, chills, muscle pain, sore throat, or loss of taste and/or smell within the last 14 days?
Have you been in contact with anyone that has had a cough, shortness of breath/difficulty breathing, a fever, chills, muscle pain, sore throat, or loss of taste and/or smell within the last 14 days?
Your Name:
Your Email:
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