K.S. J.A.M.M. Dance Troupe Pre-Entry Health Screen
All persons entering K.S. J.A.M.M. Dance Troupe MUST go through a pre-screening:

* All persons MUST have a temperature check before entry
* All persons MUST wear a face mask before and upon entry
* All persons MUST wear a mask for the duration of their time in the studio
* All persons MUST complete an Entry Health Screen before every visit
* ALL persons MUST sign a Release and Waiver of Liability, Assumption of Risk; And Indemnity Agreement
* ALL EXITS are FINAL for every visit
* ALL children under the age of 18 MUST have their parent/guardian complete the Pre-Entry Health Screen
Email address *
Student's First Name, Student's Last Name, Student's Age *
Parent's First Name, Parent's Last Name, Parent's Cell/Contact Number (If applicable, write N/A if it does not apply) *
Group/Affiliation *
Do you have any of these symptoms that are not caused by another condition? *
Required
Within the past 14 days, have you had contact with anyone that you know hadCOVID-19or COVID-like symptoms? Contact is being 6 feet (2 meters)or closerfor more than 15minutes with a person, or havingdirect contact with fluidsfrom a person with COVID-19(for example,being coughed or sneezed on). *
Have you had a positive COVID-19test for active virus in the past 10 days? *
Within the past 14 days, has a public health or medical professional told you to self-monitor,self-isolate, or self-quarantine because of concerns about COVID-19 infection? *
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