COVID-19 Waiver


Acknowledgement and Commitment

Frederica Academy truly is a FAmily and this becomes even more important now that we are making a commitment to offer on-campus learning. We believe that is the best environment for students to learn.

The partnership of keeping your children safe along with our faculty and staff requires commitment on both of our parts.

We will be asking our faculty and staff that your child will be exposed to at school to make this assessment on a daily basis: Have I presented any of the following symptoms? Fever, shortness of breath, dry cough, runny nose, sore throat, respiratory symptoms, repeated shaking with chills, muscle pain, headache, or new loss of taste or smell.

If the daily assessment yields more than one yes answer, we ask that faculty and/or staff member to remove him/herself from the school environment until symptoms are no longer present.

We would like to ask that you do the same with your child each school day. On a daily basis, please assess your child for the following:

  • Fever
  • Shortness of Breath
  • Dry Cough
  • Runny Nose
  • Sore throat
  • Other respiratory symptoms Repeated shaking with chills Muscle pain
  • Headache
  • New loss of taste or smell

If any combination of these symptoms are present, do not send your child to school. The FAmily is relying on your good judgment. When dropping your child off at school each day, you will be asked to confirm that you have evaluated your child for these symptoms.

Additional support is available through Frederica’s School Nurse, Nikki Pope, and Athletic Trainer, Adam Norman, as well as all faculty and staff who have been trained in proper COVID-19 protocols and procedures.

As a parent at Frederica Academy, we ask that you complete the following information and return prior to August 13, 2021. You may complete one form and then copy it for each of your children if you have multiple students at the school. Signatures from both parents/guardians are appreciated and can be submitted on multiple forms, if necessary.

Waiver and Commitment

By my electronic signature below, I indicate my willingness to constantly assess the health of my child(ren) relative to COVID-19 symptoms and will follow safe practices to protect my family and my community. I will not send my child(ren) to school when ill or displaying any symptoms of COVID-19 and will maintain communications with school personnel when COVID-19 exposures within my family have occurred.

By my electronic signature below, I acknowledge that I have read this form and acknowledge there may be COVID-19 exposures that occur through attendance at Frederica Academy or participation in Frederica Academy activities.

Must contain a date in M/D/YYYY format
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