Health Questionnaire

Welcome to your Health Questionnaire

Have you or anyone in your household been in close contact with anyone who has been confirmed to have a COVID-19 diagnosis in the last 14 days?
In the past 24 hours, have you or anyone in your household had a fever of 100.4 degrees Fahrenheit or higher, a cough, shortness of breath, or difficulty breathing?
Do you or anyone in your party have any underlying conditions that would put you more at risk for Covid-19?
I acknowledge the contagious nature of COVID-19 & voluntarily assume the risk that my child(ren) & I may be exposed to or infected by COVID-19 by attending.
Health Questionnaire
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