Please complete this form each school

day after 06:00 am.

​

Have you or ANY student in your household experienced any of the following symptoms in the previous 14 days:
 

  • Fever >100.3, Chills, Cough,  or Sore Throat

  • Shortness of Breath or Difficulty Breathing

  • Decreased Ability to Taste or Smell

  • Runny or Congested Nose

  • Muscle or Body Aches or Fatigue

  • Headache

  • Diarrhea, Nausea, Vomiting 

OR

  • Been in close contact with someone diagnosed with COVID-19

 

If you will not be participating in on-campus instruction due to prior symptoms/exposure please also select YES.

​ 138 Erwin Chapel Rd. Erwin NC 28339 - Phone (910)-897-5423 / Fax (910) 897-2150

Cape Fear Christian Academy admits students of any race, color, national, or ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. The Academy does not discriminate on the basis of race, color, national, or ethnic origin in the administration of its education policies, admissions policies, financial aid, athletic, or other school administered programs.

 

Cape Fear Christian Academy does not discriminate in its employment practices against any person because of race, color, national or ethnic origin, gender, or handicap.  Employment at Cape Fear Christian Academy is condidtional on the proof of legal authority to work in the United States.