Four Seasons Preschool

DAILY HEALTH SCREENING - This form must be submitted daily prior to arrival in order for your child to attend school. Forms must be sent before 7:45 am. Today or in the past 24 hours, have you or any household members had any of the following symptioms? If you are a FSP teacher please answer as they pertain to you. *

* Indicates required field

Did your child receive (or if you’re a FSP Teacher did you take) medicine to lower a fever in the last 24 hours? *

Fever (temperature of 100.0 or above), felt feverish, or had chills? *

Cough, sore throat, difficulty breathing, headache, new loss of smell/taste, new muscle aches, any other signs of illness? *

Gastrointestinal Symptoms (diarrhea, nausea, vomiting)? *

In the past 14 days,have you had close contact with anyone known to be infected with the novel coronavirus (COVID-19)? *

Who is completing this form? *

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Email *

Child's Name (If siblings are at school) *

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FOUR SEASONS PRESCHOOL