COVID-19 Health Habits and Basic Life Skills Form

COVID-19 School Health Habits and
Basic Life Skills Form

  • COVID-19 School Health Habits and Basic Life Skills Form for students and their families

  • My child meets the following criteria for attending del Sol:

  • 1. Is fully toilet trained during the day, including:

  • • turns on the water to wet hands; turns off water to apply soap

    • scrubs all parts of hands for 20 seconds, particularly palms, fingers and finger tips

    • implements strategy to time scrubbing of 20 seconds (many students sing “Happy Birthday Song” two times at typical group singing speed)

    • turns on the water and rinses off the soap completely; turns off the water

    • dries hands using a single paper towel and places used towels int rash

  • 5. My child has independent personal health habits for reducing spread of germs and viruses, i.e.,

  • 6. My child is successful in feeding self from lunch box, i.e.,

  • For All Custodial Parents and Household(s)

  • All custodial parents affirm with our signatures below that all our above responses on pages 1 and 2 are true and accurate:

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY

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