Camp to the Corps Health Check

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This should be filled out every day your child comes to camp. If you have more than one child attending, it needs to be filled out for each child individually. If not filled out upon arrival, we will ask you to complete before leaving and this will slow down registration. Please have it completed before arriving.

Parent/Guardian's Name *

Child's Name *

Name of Corps Location *

In the last 14 days, has anyone in your household had close contact with someone who has or is suspected to have COVID-19? *

Yes

Has your child experienced any of the following symptoms in the last 48 hours? Fever (over 100.4), headache, Cough, Sore throat, Shortness of Breath, Chills, muscle aches, loss of taste or smell, nausea, vomiting or diarrhea? *

Yes

Have you traveled out of Country or State (CA) within the last 10 days? *

Yes

Please type your full name below to serve as your digital signature *

Thank you! We look forward to seeing you at camp! For more information, click the link below.

https://campmtcrags.com/covid-19

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