Attendance Week of 1/24/22 Attendance Week of 1/24/22 Child’s Name * Parent’s Email * My child attended school * Thursday 1/20/22 Friday 1/21/22 Thursday 1/20/22 and Friday 1/21/22 neither Thursday 1/20/22 or Friday 1/21/22 Day 0 = 1/21; Day 5 = 1/26; Day 10 = 1/31 Day 0 = 1/20; Day 5 = 1/25; Day 10 = 1/30 Is your child fully vaccinated (two shots at least two weeks ago)? yes no Has your child tested positive for COVID-19 within the past 90 days? yes no Do you plan to have your child attend school this week? yes no if “yes,” please be sure to submit a copy of your child’s vaccination card to school Do you plan to have your child attend school this week? yes no Your child was absent on the dates of possible exposure and can continue to attend school without testing as long as he/she is not showing any symptoms. Do you plan to have your child attend school this week? yes no Your child can continue to attend school without testing as long as he/she is not showing any symptoms. Do you plan to have your child tested to return to school prior to Day 10? yes no I understand that my child may return to school on or after Day 10 as long as he/she is not exhibiting any symptoms. yes no If you plan to have your child tested to return to school prior to Day 10, how will you test him/her? Offiste PCR or rapid antigen test at school rapid test I understand that my child may return to school on or after Day 6 with documentation of a negative test result (not an at-home test) as long as he/she is not exhibiting any symptoms. yes no I would like to have my child tested at school on 1/25 I will provide a home test kit I do not have a home test kit I have extra home test kits that I will bring for others I would like to have my child tested at school on 1/26 I will provide a home test kit I do not have a home test kit I have extra home test kits that I will bring for others Plannded return date Tuesday 1/25/22 Wednesday 1/26/22 Thursday 1/27/22 Friday 1/28/22 Is there anything else we should know? If you are human, leave this field blank. Submit Δ