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Swax Lax Lacrosse Summer Camp 2021 - Girls
COVID-release form
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Email
*
Your email
Name of camper
*
Your answer
Does camper have any signs/symptoms of COVID-19 (including but not limited to coughing, fever, chills, body aches)?
*
Yes
No
Has any family member had any COVID-19 symptoms in the past 14 days (including but not limited to coughing, fever, chills, body aches)?
*
Yes
No
Has anyone in your family come in contact with someone in the last 14 days who has tested positive for COVID-19?
*
Yes
No
Is your child waiting on results from a pending COVID-19 test?
*
Yes
No
Name of parent or guardian
*
Your answer
Understanding of Covid Statement
If you answered yes to any of these questions, please keep your child home. Your signature below signifies you understand this statement.
Initials or e-signature of parent/guardian
*
Your answer
Camp week start date
*
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