COVID-19 DAILY CHECK-IN - Abundant Love Christian Daycare

COVID-19 DAILY CHECK-IN FORM

Parents for the safety of your children and our staff, you are required to fill out this COVID-19 Daily Check-In Form each morning.
Thank you for your cooperation.

COVID DAILY CHECK-IN

Child’s First Name

Child’s Last Name

Date / Time

Class

Has your child been diagnosed with COVID-19 since they were last at school?

Yes

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??

Yes

Has your child had any of the following symptoms since they were last at school? Select below.

Name of the Parent or Guardian completing todays COVID-19 Check-In Form.

By submitting this form, you are agreeing that you have answered each question above honestly and to the best of your knowledge.