Covid-19 Pre-screen
In an effort to minimize illness at camp we ask that you check on the health of your camper daily beginning 7 days prior to camp. The best camp sessions start with healthy campers and this begins at home.  Arriving to camp healthy is vital to a healthy camp for all campers.

Please note that parents must complete this form every day starting Monday one week before starting camp until the last day attending camp.  

If any temperature or symptoms are present, please have your camper evaluated by a licensed provider and contact camp for further guidance.

Please complete one form per child.
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Parent's Name (first and last) *
Student's Last Name *
Student's First Name *
Location of Camp Your Child is Attending *
What is your child's temperature today - in °F *
Which assessment method was used? *
What time did you check the temperature? *
Time
:
Do you (your child) have these symptoms? *
No
Yes
Sore throat?
Cough?
Shortness of breath or difficulty breathing
Diarrhea, vomiting, or abdominal pain?
New onset of severe headache, especially with a fever?
New loss of taste or smell?
In the last 3 months, have you (your child) had a confirmed diagnosis of COVID-19? *
In the last 14 days, has your child had close contact (within 6 feet for more than 15 minutes in a 24-hour period) with  with a person with confirmed or presumptive positive for COVID-19? *
In the last 14 days, has your child spent more than 24 hours outside the immediate region (NY, NJ, PA, CT, DE, MD) *
Any additional information?
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