Daily Class Checklist - Entry
First Name *
Last Name *
Temperature *
Seat Number *
Please enter '0' if no seat number is assigned
Table Number *
Please enter '0' if no table number is assigned
Room Number *
I have been in contact with individuals who has been diagnosed with COVID -19 or has been exposed to COVID-19 in the past 48 hours *
Required
I am experiencing one or more symptoms/signs displayed on the chart *
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