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CGI HP Daily Health Questionnaire
Please fill out this questionnaire before dropping off your daughter/s at Camp.
**Form needs to be filled out after 7 pm and before 8 am**
***You can submit one questionnaire per family***
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* Indicates required question
Email
*
Your email
Parent FULL Name
Your answer
Camper Last Name
*
Your answer
Camper/s First Name
*
Your answer
Does anyone in your household have a temperature of 99.5 or more?
*
Yes
No
Does your daughter/s display any Covid-19 Symptoms? i.e. fever, cough, shortness of breath, headache, sore throat, nausea, fatigue, diarrhea, congestion, loss of sense of taste or smell
*
Yes
No
Has your daughter/s been in contact with anyone who has been tested positive for Covid-19 in the past 14 days?
*
Yes
No
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