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Creative Nature NYC Health Questionnaire
Please fill up this form the morning our camp starts. No child will be allowed into our program without this form being completed by their parent or guardian.
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Date
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Parent/Guardian First and Last Name *Your answer
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Please enter the product number
Your answer
Child's First and Last Name
*
Your answer
Does your child shows any of these symptoms? Fever or chills / Cough Shortness of breath or difficulty breathing / Fatigue / Muscle or body aches / Headache / New loss of taste or smell / Sore throat / Congestion or runny nose /Nausea or vomiting / Diarrhea.
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My child is not showing any Covid-19 symptoms as outlined above.
Required
My child is healthy and ready for Art Adventures at the Park with Creative Nature NYC.
*
Yes!
No, I will stay home.
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