Daily Pre-Arrival Screening

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Daily Pre-Arrival Screening - COVID

To review our COVID-19 Reduction & Mitigation Policy, please visit: http://camponas.org/covid-19-reduction-mitigation/

Please fill out one form per camper.

Email *

First Name *

Last Name *

Today's Date *

YYYY

Is your camper Up-to-Date (fully vaccinated & boosted) for COVID-19? *

Yes

Other:

Required

Have you uploaded your immunization card to the Parent Portal? *

Yes

Camper is not vaccinated from COVID-19

Other:

Required

Body Temperature (Today) *

Please try to use the same thermometer each day.

Please ask your camper if they are experiencing any of the following and check any that apply. *

Chills or Body Aches

Cough or Congestion

Decreased Taste or Smell

Difficulty Breathing

GI Symptoms (Nausea, indigestion, diarrhea)

Headache

Other Cold/ Flu Symptoms

None of the above, no symptoms

Other:

Required

If there are any current symptoms above, is there a reason you suspect or know to be the cause?

(Allergies, I have a cold, I currently have/ recently had COVID-19)

Have you recently been exposed to, or in close contact with, a person diagnosed with COVID-19 in the last 10 days? *

Yes

What is the CDC Community Level for your Area? *

Please check the CDC Website or use the tool on our website to find this.

High

Medium

Low

Which of the following measures are you taking prior to your arrival?

Wearing a well-fitting mask in public, indoor settings. (The CDC recommends this for everyone in High Level COVID-19 Communities, regardless of vaccination status).

Maximizing space and ventilation when indoors.

If exposed or have symptoms: we are following the CDC's isolation and testing recommendations

We will self-test for COVID-19 prior to arriving for camp.

Other:

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