COVID Health Screening

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Please fill this form out every time your child attends class for the 2020-2021 school year. This form is required every time you/your child walks into the school.

Email *

Is your temperature greater than or equal to 99.0 degrees Fahrenheit? *

Yes

Have you or anyone in your household had any known contact with a person confirmed or suspected to have COVID-19 in the last 14 days? *

Yes

Are you currently experiencing ANY of the following symptoms? If none of these apply, please select "None of the above" *

Cough (new or worsening)

Shortness of breath (new or worsening)

Trouble breathing (new or worsening)

Fever

Runny nose

Chills

Diarrhea

Muscle pain (new or worsening)

Headache (new or worsening)

Sore throat (new or worsening)

New loss of taste

New loss of smell

None of the above

Required

Have you tested positive for COVID-19 through a diagnostic test in the past 14 days? *

Yes

If you have answered "NO" or "NONE OF THE ABOVE" to all questions, you have passed and may enter the studio this week. If you answered "YES" to any of the questions or are experiencing any of the symptoms listed above, you will not be allowed to enter the studio.

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