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  • Attendance Sheet and Contact Tracing Form

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    Mary Grace Orcine
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    The document contains attendance sheets and contact tracing forms for Pili West Central School. It lists the school name, region, district, and school year at the top. The forms include fields for date, student name, address, contact number, temperature, and signature. The attendance sheet is used to record student attendance, while the contact tracing form is used to document any potential COVID exposures among students and contacts in case contact tracing is needed.

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    Attendances and Contact Tracing

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    The document contains attendance sheets and contact tracing forms for Pili West Central School. It lists the school name, region, district, and school year at the top. The forms include fields for date, student name, address, contact number, temperature, and signature. The attendance sheet is used to record student attendance, while the contact tracing form is used to document any potential COVID exposures among students and contacts in case contact tracing is needed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    13 views6 pages

    Attendance Sheet and Contact Tracing Form

    Uploaded by

    Mary Grace Orcine
    The document contains attendance sheets and contact tracing forms for Pili West Central School. It lists the school name, region, district, and school year at the top. The forms include fields for date, student name, address, contact number, temperature, and signature. The attendance sheet is used to record student attendance, while the contact tracing form is used to document any potential COVID exposures among students and contacts in case contact tracing is needed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 6

    DEPARTMENT OF EDUCATION

    Region V
    Division of Camarines Sur
    Pili West District
    PILI WEST CENTRAL SCHOOL
    SY 2021-2022
    ATTENDANCE SHEET

    DATE NAME ADDRESS CONTACT NUMBER TEMPERATURE SIGNATURE

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    DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION


    Region V Region V Region V
    Division of Camarines Sur Division of Camarines Sur Division of Camarines Sur
    Pili West District Pili West District Pili West District
    PILI WEST CENTRAL SCHOOL PILI WEST CENTRAL SCHOOL PILI WEST CENTRAL SCHOOL
    SY 2021-2022 SY 2021-2022 SY 2021-2022
    CONTACT TRACING FORM CONTACT TRACING FORM CONTACT TRACING FORM
    DATE: ________________ TIME: ________________ DATE: ________________ TIME: ________________ DATE: ________________ TIME: ________________
    TEMPERATURE: ________ TEMPERATURE: ________ TEMPERATURE: ________
    GRADE& SECTION: ____________________ GRADE& SECTION: ____________________ GRADE& SECTION: ____________________
    NAME OF PUPIL: _______________________________________________ NAME OF PUPIL: _______________________________________________ NAME OF PUPIL: _______________________________________________
    NAME OF PARENT/GUARDIAN: ___________________________________ NAME OF PARENT/GUARDIAN: ___________________________________ NAME OF PARENT/GUARDIAN: ___________________________________
    ADDRESS: ____________________________________________________ ADDRESS: ____________________________________________________ ADDRESS: ____________________________________________________
    CONTACT NUMBER: ___________________ CONTACT NUMBER: ___________________ CONTACT NUMBER: ___________________
    SIGNATURE: _________________________ SIGNATURE: _________________________ SIGNATURE: _________________________

    DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION


    Region V Region V Region V
    Division of Camarines Sur Division of Camarines Sur Division of Camarines Sur
    Pili West District Pili West District Pili West District
    PILI WEST CENTRAL SCHOOL PILI WEST CENTRAL SCHOOL PILI WEST CENTRAL SCHOOL
    SY 2021-2022 SY 2021-2022 SY 2021-2022
    CONTACT TRACING FORM CONTACT TRACING FORM CONTACT TRACING FORM
    DATE: ________________ TIME: ________________ DATE: ________________ TIME: ________________ DATE: ________________ TIME: ________________
    TEMPERATURE: ________ TEMPERATURE: ________ TEMPERATURE: ________
    GRADE& SECTION: ____________________ GRADE& SECTION: ____________________ GRADE& SECTION: ____________________
    NAME OF PUPIL: _______________________________________________ NAME OF PUPIL: _______________________________________________ NAME OF PUPIL: _______________________________________________
    NAME OF PARENT/GUARDIAN: ___________________________________ NAME OF PARENT/GUARDIAN: ___________________________________ NAME OF PARENT/GUARDIAN: ___________________________________
    ADDRESS: ____________________________________________________ ADDRESS: ____________________________________________________ ADDRESS: ____________________________________________________
    CONTACT NUMBER: ___________________ CONTACT NUMBER: ___________________ CONTACT NUMBER: ___________________
    SIGNATURE: _________________________ SIGNATURE: _________________________ SIGNATURE: _________________________

    DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION


    Region V Region V Region V
    Division of Camarines Sur Division of Camarines Sur Division of Camarines Sur
    Pili West District Pili West District Pili West District
    PILI WEST CENTRAL SCHOOL PILI WEST CENTRAL SCHOOL PILI WEST CENTRAL SCHOOL
    SY 2021-2022 SY 2021-2022 SY 2021-2022
    CONTACT TRACING FORM CONTACT TRACING FORM CONTACT TRACING FORM
    DATE: ________________ TIME: ________________ DATE: ________________ TIME: ________________ DATE: ________________ TIME: ________________
    TEMPERATURE: ________ TEMPERATURE: ________ TEMPERATURE: ________
    GRADE& SECTION: ____________________ GRADE& SECTION: ____________________ GRADE& SECTION: ____________________
    NAME OF PUPIL: _______________________________________________ NAME OF PUPIL: _______________________________________________ NAME OF PUPIL: _______________________________________________
    NAME OF PARENT/GUARDIAN: ___________________________________ NAME OF PARENT/GUARDIAN: ___________________________________ NAME OF PARENT/GUARDIAN: ___________________________________
    ADDRESS: ____________________________________________________ ADDRESS: ____________________________________________________ ADDRESS: ____________________________________________________
    CONTACT NUMBER: ___________________ CONTACT NUMBER: ___________________ CONTACT NUMBER: ___________________
    SIGNATURE: _________________________ SIGNATURE: _________________________ SIGNATURE: _________________________

    DEPARTMENT OF EDUCATION
    Region V
    Division of Camarines Sur
    Pili West District
    PILI WEST CENTRAL SCHOOL
    SY 2021-2022
    ATTENDANCE SHEET

    DATE NAME ADDRESS CONTACT NUMBER TEMPERATURE SIGNATURE

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    DEPARTMENT OF EDUCATION
    Region V
    Division of Camarines Sur
    Pili West District
    PILI WEST CENTRAL SCHOOL
    SY 2021-2022
    ATTENDANCE SHEET

    DATE NAME ADDRESS CONTACT NUMBER TEMPERATURE SIGNATURE

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    DEPARTMENT OF EDUCATION
    Region V
    Division of Camarines Sur
    Pili West District
    PILI WEST CENTRAL SCHOOL
    SY 2021-2022
    ATTENDANCE SHEET

    DATE NAME ADDRESS CONTACT NUMBER TEMPERATURE SIGNATURE

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    DEPARTMENT OF EDUCATION
    Region V
    Division of Camarines Sur
    Pili West District
    PILI WEST CENTRAL SCHOOL
    SY 2021-2022
    ATTENDANCE SHEET

    DATE NAME ADDRESS CONTACT NUMBER TEMPERATURE SIGNATURE

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