Daily Screening Questionnaire
Caregivers are required to conduct a daily self-assessment for children in their care to determine if they are healthy and able to attend gym today.

If your child answers "YES" to any of the below questions, begin self-isolation immediately. Contact 8-1-1 for guidance and inform Explosion Gymnastics (explosionlloyd@gmail.com) that they will not be in attendance.

If your child begins exhibiting symptoms of COVID-19 while at gym, you will be asked to pick them up immediately.

Children who regularly have symptoms that may be mistaken for COVID-19 symptoms are encouraged to provide a medical note to the gym so that the instructor and necessary staff are aware.
Sign in to Google to save your progress. Learn more
Next
Clear form
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy