Jeanyne's Pre-Class Vital Check
Please fill this form out the morning of a group puppy class!
Only ONE person from each house hold can attend the class with your puppy.
Masks are required at all times.  
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Your name and pup's name
Have you experienced COVID 19 related symptoms in the past 14 days? *
Fever or chills; Cough; Shortness of breath or difficulty breathing; Fatigue; Muscle or body aches; Headache; New loss of taste or smell; Sore throat; Congestion or runny nose; Nausea or vomiting; Diarrhea
Have you tested positive for COVID 19 in the past 14 days? *
Have you been in close proximity with anyone suspected of or having a positive test for COVID 19 in the last 14 days? *
Temperature Check: Please take your temperature the morning of our group class. Was your temperature above 100.4 (degrees Fahrenheit)? *
You acknowledge that if you start having COVID 19 symptoms or are exposed to someone, you will report these to the Regional Manager promptly. *
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