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Visitors and Staff DAILY COVID-19 PASS

Name *

First

Last

Email Address *

Email

Confirm Email

Employees should use their Norwell Public Schools email account.

Please choose one of the following: *

Norwell Public Schools Employee
Parent or Legal Guardian
Contractor
Athletic/ Co-Corricular Event
Other

Which school will you be entering today? Please check all that apply: *

Norwell High School
Norwell Middle School
Grace Farrar Cole Elementary School
William G. Vinal Elementary School
District Office
Athletic Contests

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

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

Are you in compliance with the State of Massachusetts Travel Advisory?

Yes
No

*Effective March 22, 2021, all visitors and returning residents entering Massachusetts must follow the new state of Massachusetts travel advisory. Click here to review the State of Massachusetts Advisory.

In the past 14 days, have you had close contact* with a person known to be infected with COVID-19? *

Yes
No

*Close Contact is defined as being within 6 feet of an individual who has tested positive for COVID-19 for more than 15 minutes, while that person was symptomatic, starting 48 hours before their symptoms began until their isolation period ended.

Have you been cleared by the School Nurse to return to school? *

Yes
No

Name