Daily COVID-19 Screening

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Please complete the form below in order for your camper to attend camp today.

Email *

By submitting this form, I am verifying that my camper will wear a face covering/mask throughout the entirety of our camp day.

Today's Date *

YYYY

Campers First and Last Name *

Grade enrolled for the 2021-2022 School Year *

Campers Gender *

Has your camper had a temperature over 99.9 degrees within the past 24 hours? *

1 point

Yes

Has your camper taken any fever reducing medicine within the past 24 hours? *

1 point

Yes

Has your camper experienced a cough, shortness of breath or difficulty breathing within the past 24 hours? *

1 point

Yes

Has your camper or someone they live with had close contact with someone who has tested positive for COVID-19 within the last 14 days? *

1 point

Yes

Within the past 14 days, have you traveled to one of the states on the NJ Travel Advisory List? *

To prevent the spread of COVID-19, the state of NJ has issued an incoming travel advisory for individuals entering NJ from states with an infection rate of 10% or higher. These individuals are required to quarantine for 14 days.

1 point

Yes

A copy of your responses will be emailed to the address you provided.

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