Protection Pledge Form

1) PROTECT MYSELF
I,   First Name   Last Name , will regularly monitor for the symptoms of COVID-19 and immediately report with medical staff if I experience a cough, fever, breathing difficulty, or any other listed symptoms. I'll always wash my hands often with soap and water or use hand sanitizer.

2) PROTECT OTHERS
I,   First Name   Last Name ,  will always maintain social distancing, especially in classroom/workplace settings at all times. I promise to stay home if I feel even the mildest of symptoms or after exposure to someone who is ill or has tested positive for COVID-19. I will always wear a mask and other protective gear. And I will regularly encourage others to adhere to this pledge.
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