COVID HEALTH SCREENING | Gtta

top of page

b3e733a9d79eb67ac89b72acd5159699446639ea

HOME
REGISTER FOR SUMMER 2023
DONATE
SUMMER 2023
CODE OF CONDUCT
MEET THE STAFF
SCHOLARSHIPS
SUMMER 2023 CALENDAR
More

Use tab to navigate through the menu items.

IN ORDER TO ATTEND A SESSION, ALL STUDENTS AND STAFF MUST FILL OUT THIS FORM.

Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Email

My body temperature is lower than 98.6°F/ 37.5°C

I am not experiencing the symptoms: fever, cough, sore throat

I haven’t been in close contact with a Covid-19 patient in the last 14 days

Initials

Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

bottom of page