Mudra Dance Studio Wellness Form
We are no longer requiring that everyone wear a mask. Though, several of our dancers/drummers will still be masked. Anyone who has any cold-like symptoms will be expected to take a home covid test. If they test positive, we ask that they stay home for 10 days. If they test negative, they may still come to class, but they must wear a medical grade mask.
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Email *
First Name (of student) *
Last Name (of student) *
Class *
Do you (the student) have any flu-like symptoms? i.e. cough, fever, runny nose, shortness of breath, diarrhea *
If answered yes to the previous question, did you take a covid test at home? *
If you have had an exposure in the last 10 days, have you gotten a negative test result since then?
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