Shopping Cart
Your Cart is Empty
Quantity: Remove
There was an error with PayPalClick here to try again
CelebrateThank you for your business!You should be receiving an order confirmation from Paypal shortly.Exit Shopping Cart

Rock the Baby

Self-Screen Form

This assessment must be done the morning of, before arriving to school each day.

A child/staff member/person will not be allowed to enter the classroom until this form is received.

Forms must be submitted each day a child/staff/person is due into school, even if not attending. 

If not attending, the form must be submitted by 8:30am.

If a person has any symptoms listed below, they might not be able to attend school until permitted by Rock the Baby. Your classroom will contact you when necessary.

If any of the below are checked off as a yes response, the person may not be able to attend school until permitted by RTB. The child/staff/person has or as had in the last 24-48 hours:
Will be ABSENT today -The child/staff/person will not be attending school today due to:
Will ATTEND school today -The child/staff/person:
This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.

Thank you! Your message was sent successfully.