SFNC COVID-19 Safety Form
Please fill out this form in order to proactively mitigate the spread of COVID-19 and log entry data for contact tracing if necessary.
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Email *
Name (First and Last) *
Phone Number *
Children's names in the Power Project Program at SFNC *
My child(ren) in the Power Project are vaccinated. *
I have told my SFNC student's teacher or a SFNC staff person that my child(ren) are vaccinated. *
I have had close contact with someone diagnosed with COVID-19; experienced cold or flu-like symptoms; or tested positive for Covid-19 within the last 5 days. *
If you are in need of additional support at this time, please share it with us so we can help. *
Comments, concerns
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