Monitor To Stay

Required

Monitor to Stay Attestation

This form is for exposed students who are not vaccinated or up to date on the COVID-19 Vaccine. Please submit each day for five days after exposure.

Must contain a date in M/D/YYYY format
Parent/Guardian Namerequired
First Name
Last Name
Student Namerequired
First Name
Last Name
Has your child had any of the following symptoms in the past twenty four hours? Please check all that apply.
Please submit this form each day for five days after exposure.
 
If your child has no symptoms they are welcome to attend school.
 
If you have checked any symptoms your child must stay home and be tested.