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* 1. Child's Name

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* 2. Today's Date

Date
Time

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* 3. Has your child been diagnosed wih COVID-19 since they were last at school?

*If no, move on to the next question.
*If Yes, your child may not come to school. Please call Maggie for further instructions.

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* 4. Has your child or any member of your family had any of the following symptoms since they were last at school?

Fever, Chills, Shortness of breath or difficulty breathing, new cough, new loss of taste of smell.

If no, move on to the next question.
If yes, your child may not come to school. Please call Maggie for further instructions.

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* 5. Has your child had close contact (been within 6 feet of someone diagnosed with COVID-19 for a cumulative total of 15 minutes over a 24-hour period) in the last 14 days?

If no, move on to the next question.
If yes, your child can not come to school. Please call Maggie for further instructions.

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* 6. Has the health department staff or a health care provider been in contact with you and advised your child to quarantine?

*If no, please move on to the next question.
*If yes, your child can not come to school. Please call Maggie for further instructions.

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* 7. Does your child have a runny nose? 

*If no, please move on to the next question.
*If yes, your child will not be admitted for 2 days. After 2 days, your child may return to school if they no loner have a runny nose and have not developed other symptoms OR they must wear a mask and be able to care for their cold independently.

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* 8. Has your child experienced nausea, vomiting, or diarrhea? 

*If no, he/she may come to school.
*If yes, your child may not come to school. Please call Maggie for further instructions.

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* 9. Maggie can be reached at the school at (828) 697-1011, or on her cell at (828) 273-0032.

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