Covid Check | avonlakedramaclub

Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Email

Student's Current Temperature

I am NOT experiencing the symptoms: fever, cough, sore throat

I have NOT been in close contact with a Covid-19 patient in the last 14 days

Initials

Date

I declare that the info I’ve provided is accurate & complete

I have verified the students temperature

Thanks for submitting!