DATE: _____ CAMPUS: ____ GRADE: ___ CHILD’S NAME: _____________________
VEHICLE CEREMONY PROTOCOL
- Participants must wear a mask or face covering and gloves
- There can be no more than 5 people in a car
- All employees must wear a mask and gloves when passing documents
COVID-19 CHECKLIST
Prior to participating, individuals must be screened (via questioning) by school system employees for any of the following new or worsening signs or symptoms of possible COVID19:
|
Do you have a Cough, Shortness of breath, or difficulty breathing? |
YES |
NO |
|
Chills |
YES |
NO |
|
Repeated shaking with chills |
YES |
NO |
|
Muscle pain |
YES |
NO |
|
Headache |
YES |
NO |
|
Sore throat |
YES |
NO |
|
Loss of taste or smell |
YES |
NO |
|
Diarrhea |
YES |
NO |
|
Feeling feverish or a measured temperature greater than or equal to 100.0 degrees Fahrenheit |
YES |
NO |
|
Within the last 14 days, have you been in close contact with a person who is lab-confirmed to have COVID-19? |
YES |
NO |
Those found with any of these signs or symptoms must be excluded from the ceremony