DATE: _____ CAMPUS: ____ GRADE: ___ CHILD’S NAME: _____________________
VEHICLE CEREMONY PROTOCOL
- Participants must wear a mask or face covering
 - 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