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Shared Responsibility Daily Check in Form for Students on Campus

Bellflower Unified School district is committed to providing a safe and healthy environment for students to progress in their learning and reach their academic potential. For this to occur, there must be a shared responsibility between parents/guardians and the school. We ask you to work in partnership with us to ensure the health and safety of all students when returning for in-person learning. 


Please complete the daily electronic symptom check of your child(ren) before sending them to school prior to school entry:

Ernie Pyle Daily Screening Link

  • If you have not submitted your Shared Responsibility form for your child for the day, you will have the opportunity to scan the QR code at each gate and submit the form.

Please complete the form daily for each of your children.


Shared Responsibility QR Code