Wicomico Recovery Plan 2020 -2021

72 Appendix I: COVID-19 Parent/Guardian Agreement COVID-19 Parent/Guardian Agreement This form must be completed and on file with your child’s school in order for your child to be present in the school, on the bus, or in any WCPS facility. I _____________________________, the parent/guardian of ________________________ agree to follow the guidelines listed below: • I will follow the requirements for in-person attendance for Wicomico County Public Schools. • I will check my child for symptoms of illness every day before he/she attends in-person school. Signs and Symptoms of COVID-19 include: New onset cough or shortness of breath, difficulty breathing, new loss of taste or smell OR at least 2 of the following: • Fever of 100.4 or higher • Chills • Shivering • Muscle aches • Sore throat • Headache • Nausea or vomiting • Diarrhea • Fatigue • Runny nose • Congestion • I will notify the school nurse as soon as I am made aware that my child has tested positive for COVID-19 or has been exposed to a person who is confirmed to have COVID-19 or is awaiting test results. I will not send my child to school if any of these apply. • I will not send my child to school if he/she is exhibiting any signs/symptoms of COVID-19, have been in close contact with someone positive with or with symptoms of COVID-19 in the past 14 days. If my child becomes ill during the school day, I will have a plan to ensure he/she is picked up WITHIN ONE HOUR . • I agree to comply with recommended quarantine or isolation as directed by the school nurse and/or the local health department. • I agree to provide the school with accurate phone numbers for myself and emergency contacts in case my child needs to be sent home. Parent/Guardian________________________________ Phone #________________________ Emergency Contact______________________________ Phone # _______________________ Emergency Contact______________________________ Phone # _______________________ Parent/Guardian_______________________ Parent/Guardian______________________________ Print Name Signature and Date

RkJQdWJsaXNoZXIy OTE0OTQ=