FALL MUSICAL THEATRE & ACTING CLASSES - COVID-19 HEALTH SCREENING FORM
Parents are required to conduct their own health screening on their performer EACH TIME they come to class/workshop.  Please submit one per child for every day that day come in for class/workshop 30 minutes before start.  Thank you!
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Answering YES to any of these questions, means my performer should not attend in person classes/workshop and should stay at home.  Staff, students, and parents MUST REMAIN HOME if anyone in their household has a cough, difficulty breathing, or fever greater than 99.     ***You also need to email the producer, Janet Hoehl.   janet@firebirdtheatre.net.***
NAME OF PARTICIPANT: *
DATE: *
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Does anyone in my household have a cough, difficulty breathing, or a fever over 99? *
Does anyone in my household have any symptoms associated with Covid-19? *
Is anyone in my household ill? *
Has anyone in my household been in contact with a person with a lab-confirmed case of Covid-19 in the last 14 days? *
A copy of your responses will be emailed to the address you provided.
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