Daily Electronic Sign-In Form

Please complete the form below

Student Name

First Name

Last Name

Today's Date

YYYY

Parent/Guardian who completed this form

First Name

Last Name

Do you have any of the following symptoms ?

Fever/chills, Cough, Shortness of breath or difficulty breathing, Body aches, Sore throat, Congestion/Runny nose, Nausea or vomiting, Diarrhea, New loss of taste or smell

If the answer to question is "YES", the student should STAY HOME and can ONLY be back to school after 24 HOURS SYMPTOMS FREE WITHOUT MEDICATIONS.

Greenwich Village School

Greenwich Village School

Daily Sign-In Form

Greenwich Village School

Daily Electronic Sign-In Form

Please complete the form below

Greenwich Village School