No Records Found
How many students to confirm?
For large families, you may have to use this form multiple times.
Student Number (Pin)
Student Number (Pin) for 2nd Child
Student Number (Pin) for 3rd Child
Student Number (Pin) for 4th Child
Student Number (Pin) for 5th Child
I certify my child(ren) has not been exposed to anyone with Covid-19 within the past two weeks and is not experiencing the following symptoms:
Fever of 100+
Cough, new or worsening
Difficulty breathing or shortness of breath
Chills or muscle aches
Loss of taste /sense of smell
New onset headache
It is safe for these children to attend school today
Note: You still must report any absences to the front office.
* Required field(s)
Students in Grades 5-8 need to be submitted by 7:00am. Grades PK - 4 by 8:00am