COVID-19 Screening Attestation

 The safety of the Warwick Valley CSD community remains our priority. To prevent the spread of COVID-19 and reduce the potential risk of exposure, we are conducting a simple screening. Your participation is essential to help us take precautionary measures to protect you and everyone in the school. We request you complete this screening every day before entering a district school or facility. Based on your response, you will be informed whether you are permitted to enter district facilities.


This tool should not take the place of consultation with your health care provider or diagnose or treat conditions. If you are concerned about underlying medical conditions, please consult with your medical health care provider. If you're in an emergency medical situation, call 911 or your local emergency number.  


Information about COVID-19 is continually changing. And the level of COVID-19 activity varies by community. For current updates on COVID-19 and details on testing and other health measures in our area, check with the Orange County Department of Health

Screening Questions

Please select a valid location.
Please select a valid sub-location.
Please select a valid sub-location.
Please select a valid sub-location.
Please select a valid sub-location.
Please select a valid sub-location.
Please select a valid sub-location.
Please select a valid sub-location.
Please select a valid sub-location.
Please select a valid role.

  1. Since your last day of work, or last visit here, have you had any of these symptoms?
    • Fever (temperature of greater than 100.0° F in the last 10 days)
    • Persistent dry cough
    • Shortness of breath or difficulty breathing
    • Chills
    • Repeated shaking with chills
    • Overall body aches and pains
    • Headache
    • Sore throat
    • New loss of taste or smell
    • Congestion or runny nose
    • Gastrointestinal Tract Symptoms (primarily affecting children only)
    Note: Answer “yes” if the symptoms you have experienced in the last 10 days are of greater intensity or frequency than what you normally experience.
  2. Have you had a positive COVID-19 test within the last 10 days?
  3. Have you had close contact with a confirmed or suspected case of COVID-19 case within 10 days?

Employees: I am doing my part to keep myself and others safe and I am following the practices outlined in our COVID-19 safety protocols.
Guests and students: I am doing my part to keep myself and others safe and am following the practices outlined in New York State's safety protocols.


Parent/Guardian: If filling out this form on behalf of a student, please provide the student's first and last name.
Valid first name is required.
Valid last name is required.
Please enter a valid email address for location access.
Please enter a valid phone number for location access.