YANSHOOFIM EDCJCC Preschool Covid Tracking

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Please fill out this form every Sunday evening after 5:30 PM.

Correo electrónico *

CHILD'S First Name (child who has been tested) *

CHILD'S Last Name (child who has been tested) *

Is this child fully vaccinated? *

YES

If your child is vaccinated, what was the date of his or her second shot?

Has this child ever tested positive for Covid? *

YES

If this child has ever tested positive, what was the date of his/her last positive test?

WEEKLY COVID TEST RESULT *

Negative

Positive

Not required to test this week

If you answered "Not Required" above, please explain why your child is not required to test this week.

Enviar

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