My student, and our household do not have any of the following symptoms:
- fever or
- cough or
- shortness of breath or
- sore throat or
- fatigue or
- muscle ache or
- new loss of smell and/or taste or
- runny nose/congestion or
- headache or
- diarrhea or
- nausea or
- vomiting or
- chills
By submitting this form, I attest that we understand and will adhere to our county's screening and prevention protocols. If symptoms occur in any of our household's members, the Amp MS student will not attend the Wednesday meetings until it is safe to do so.