COVID Check-In

Each class day, before attending class, the parent or caregiver should complete this form for themselves and their children.

COVID Check-In

Name
Have you or your child experienced any of the following symptoms in the past 48 hours?
A fever (100.4°F or higher). A new cough, a new shortness of breath, a new sore throat, a new headache or a new loss of taste or smell that cannot be attributed to another health condition. New muscle aches that cannot be attributed to another health condition or to being caused by a specific activity, such as physical exercise.
Have you or your child tested positive for COVID-19 within the past 10 days?
Have you, your child, or a member of your household been advised to self-quarantine for confirmed or suspected COVID-19 in the last 10 days?
Has your child been in close contact with anyone with COVID-19 in the past 10 days?
Note: if you are not fully vaccinated due to an exemption, please also consider any close contact you may have had.

If you have answered yes to either question, please do not attend class.

If you develop symptoms during class, or if staff members observe symptoms in you or your child, we will ask that you notify the instructor and leave class.

Last Updated May 17, 2022