Parent Responsibility COVID Questionnaire

Parent Responsibility COVID Questionnaire
Survey

All parents of students in Comsewogue School District are required to complete a monthly Parent Responsibility COVID Questionnaire by April 5th, 2021. Please be sure to complete 1 form per child. By completing this form, I will only send my child to school if:

  • They are feeling healthy and well and do not have a temperature of 100F or higher (COVID Symptoms)

  • Within the last 10 days, they have not been in close contact with anyone who has been diagnosed with COVID-19.

  • Within the last 10 days, they have not tested positive for COVID-19 or been diagnosed as COVID-19 positive by a healthcare provider.

  • They have not traveled to any state (other than Connecticut, Massachusetts, New Jersey Pennsylvania or Vermont) without completing the COVID test requirements as set forth by New York State as of November 4, 2020, which requires a negative COVID test no more than 3 days prior to leaving my destination, mandatory 3-day quarantine upon return to New York and a negative COVID test on the 4th day prior to entering this building. (NYS Travel Advisory)

  • They have not traveled internationally without completing a mandatory quarantine.

If at any point you do not meet the criteria for any of these questions, please DO NOT SEND YOUR CHILD TO SCHOOL and contact the School District immediately.

To complete this survey in English, visit this link.

Para realizar esta encuesta en español, visite este enlace.