Teen - Wellness Check In (Bloomingdale Church)
Please complete this form, preferably at least 15 minutes before the start of the program.  
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Your Name (Teen) *
*If your answer YES to any of the questions, please stay home.
Have you had a fever (greater than 100.4 degrees) or experienced any of the following  COVID-19 symptoms in the past 24 hours: chills, muscle or body aches, sore throat, cough, new congestion, runny nose, shortness of breath, fatigue, headache, nausea, vomiting, diarrhea, loss of taste or smell? *
We ask that you fully comply with not attending with any COVID-19 symptoms.
Have you, or anyone living in your home, had a close contact* in the last 14 days with someone with a diagnosis of COVID-19? *
**A "close contact" is someone who was within 6 feet of an infected person for a cumulative total of 15 minutes or more over a 24-hour period starting from 2 days before illness onset until the time the patient is isolated.
Updated Mask Guidance for NextGen programs
-Masks will be worn at all times by everyone indoors, including vaccinated persons.
-Mask wearing is optional outside. We support each family’s mask-wearing preference outside.
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