Daily Health Check

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Christ Church Children's Center

Home
Daily Health Screening Form
Programs & Tuition
Enrollment Forms
Meet Our Teachers
School Policies & Calendar
CCCC Teachers Read!

Home
Daily Health Screening Form
Programs & Tuition
Enrollment Forms
Meet Our Teachers
School Policies & Calendar
CCCC Teachers Read!

Required Daily Health Screening

The Department of Early Education requires the all children and staff complete a daily health screening before attending school each day. Please complete the information below PRIOR to coming to school.

If your child is showing any of the symptoms below or they have come in contact with a confirmed or presumptive diagnosis of COVID-19, they should not attend school that day and you should contact Christy Harvey at [email protected]

Child's Name*

I attest that the information provided below is accurate to the best of my knowledge. Please type your name below; your typed name will act your electronic signature.

Please check below if your child has any of the following symptoms:*

Fever (100 degrees or higher)CoughSore ThroatDifficulty BreathingGastrointestinal DistressNew Loss of Smell or TasteNew Muscle AchesFatigue (combined with any other symptom)Headache (combined with any other symptom)Running Nose or Congestion (combined with any other symptom)Any Other Signs of Illness (combined with any other symptom)None Of The Above

Has your child been diagnosed with seasonal allergies or asthma by their physician ?

Has your child had contact with someone in the previous 14 days with a confirmed or presumptive diagnosis of COVID-19 or someone who is ill with a respiratory illness? Please answer Yes or No below:

Today's Date

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Thank you for completing the Daily Health Screening

Email

[email protected]

Visit

25 Central St., Andover, MA 01810

Call

978-475-4037