Students DAILY COVID-19 PASS

Name (as it appears in Aspen) *

First

Last

Email Address *

Email

Confirm Email

Middle School and High School students should use their Norwell Public Schools email address.

School *

Grace Farrar Cole Elementary School
William G. Vinal Elementary School
Norwell Middle School
Norwell High School

Do you take the bus? *

Yes
No

Bus Number *

In the past 24 hours have you had... *

Fever (100° Fahrenheit or higher), chills, or shaking chills
Difficulty breathing or shortness of breath
New loss of taste or smell
Muscle aches or body aches
Cough (not due to other known cause, such as chronic cough)
Sore throat when in combination with other symptoms
Nausea, vomiting, or diarrhea when in combination with other symptoms
Headache when in combination with other symptoms
Fatigue when in combination with other symptoms
Nasal congestion or runny nose (not due to other known causes, such as allergies) when in combination with other symptoms

No Symptoms *

No Symptoms

Has a representative of either the Norwell Board of Health or the School Department contacted you and asked you not to attend school today? *

Yes
No

Please make sure that you are following the Massachusetts COVID-19 Travel Protocol prior to attending school. To review the current protocol please visit:

https://www.mass.gov/info-details/covid-19-travel

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