Jewish Enrichment Center COVID-19 Screening
Updated 3/28/22.

To review our guidelines for returning on-site after travel, a positive COVID-19 test, or exposure, please visit: https://jewishenrichment.org/parents/covid-19/.

Reminder: We love having your child on-site, but please keep your child home if they do not feel well.
Sign in to Google to save your progress. Learn more
Email *
Children's Names (First and Last) *
Does your child or anyone in your household currently have any of the following symptoms? *
Required
Has your child tested positive for COVID-19 within the past 10 days? If yes, please contact admin@jewishenrichment.org *
Regardless of vaccinations status: in the past two weeks has your child had close contact* with someone who tested positive for COVID-19 or displayed symptoms of COVID-19? If yes, please contact admin@jewishenrichment.org. *
* Close contact is defined as 15 cumulative minutes of exposure at a distance of 6 feet or less within a 24-hour period (e.g., three 5-minute exposures for a total of 15 minutes), irrespective of whether the contact was wearing a mask. Close contact also includes direct contact with infectious secretions without PPE. All members of a self-contained classroom for extended periods are considered contacts.
Regardless of vaccination status: Has your child traveled outside of Illinois in the past 14 days? If yes, please e-mail admin@jewishenrichment.org.   *
Please be in touch about your child's exposure if your child has traveled outside of Illinois and you are unsure if they are eligible to come onsite.
I confirm that my child is eligible to attend Jewish Enrichment Center programming today.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Institute for Jewish Enrichment. Report Abuse