MSTDA PRE-CAMP HEALTH SCREENING
Prior to attending camp at Main Street Theatre & Dance Alliance, we ask that you complete the health screening questionnaire below. If you answer "yes" to any of the below exposure questions or are experiencing any of the symptoms listed, please notify us and do not attend.
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Email *
Camper/Staff Name *
CAMP GROUP: *
Have you or anyone in your household tested positive for COVID-19 in the past 14 days? *
Have you or any members of your family been exposed to someone who has tested positive for COVID-19 in the past 14 days? *
Have you or any members of your family traveled in the past 14 days to an area considered a hot zone for COVID-19? Areas on the travel advisory can be found here - https://coronavirus.health.ny.gov/covid-19-travel-advisory *
Have you, anyone in your family, or your child experienced any of the following symptoms in the past 48 hours? *
Required
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