Big Star Covid-19 Parent Questionnaire
No one will be permitted in our facility if they have been diagnosed with COVID-19 (have not recovered or are still in the 14 day quarantine period), had symptoms of COVID-19 or been exposed to someone who has been diagnosed with COVID-19 or suspected to have COVID-19 in the last 14 days. If your student is showing any of these symptoms and they are related to an existing condition that is not COVID-19, please provide a doctor's note, and email office@bigstarstudios.com
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Week of: *
Person Attending - First Name: *
Person Attending - Last Name: *
Big Star Class(es) *
Required
Has the person attending had a fever of 100.4°F in the last 48 hours? *
Is the person attending experiencing a cough, stuffy nose, shortness of breath or a sore throat? *
Is the person attending experiencing unusual fatigue? *
Has the person attending had a loss of sense of taste or smell? *
Has the person attending been vomiting or had diarrhea in the past 24 hours? *
I agree to contact Big Star Studios if the person attending begins to show any of the above symptoms. I understand that they cannot participate if they have any of the above symptoms, and should stay home. If they have any of these symptoms, and they are unrelated to COVID-19, I will provide a doctor's note with a diagnosis unrelated to COVID-19. *
Required
By checking this box and entering my name below, I agree that I will check these symptoms each day before dropping off at Big Star. *
Required
First Name *
Last Name *
Cell # *
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