This FORM, or a PAPER FORM, must be completed and submitted before you or your children may enter the Parish School Building, before EVERY CLASS.

Additionally, please note that you must inform the parish if you or any family member is planning to, or has already traveled to any state that has a positive rate of more than 10% for COVID.
The following website provides information regarding the positivity rate for all 50 States, US Territories, and popular international destinations.

https://coronavirus.jhu.edu/testing/testing-positivity

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* 1. What is your family's last name?

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* 2. Do you, if attending yourself, or your child have a temperature of 100.4 or more at the time of completing this screening?

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* 3. Since the last time on campus, have you, if attending yourself, or your child had any of the following symptoms: Cough, shortness of breath, difficulty breathing, new loss of taste or smell, fever of 100.4 or higher (measured or subjective), chills or shaking chills, muscle aches, sore throat, headache, nausea or vomiting, diarrhea, fatigue, and congestion or runny nose?

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* 4. Since the last time on campus, have you, if attending yourself, or your child been waiting for a COVID-19 test result, been diagnosed with COVID-19, or been instructed by any health care provider or the health department to isolate or quarantine?

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* 5. In the last 14 days, have you, or your child had close contact (within 6 feet for at least 15 minutes) with anyone diagnosed with COVID-19 or suspected of having COVID-19?

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* 6. If you answered YES to any of the above questions, please call Karen at 443-504-8058, or email kdlibrary0708@gmail.com. 

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