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COVID Contact Tracing - Daily
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* Indicates required question
Program
*
Arabic Kids
Dabke
English Conversation
Tutoring
Science Club
Computer class
PACC Summer Fun
Name
Your answer
Child's Name
Your answer
Is your child feeling well?
Yes
No
Other:
Clear selection
Is everyone in your house feeling well?
Yes
No
Other:
Clear selection
Does anyone have a fever?
Yes
No
Other:
Clear selection
Anyone been in contact with someone who has covid in the last 14 days?
Yes
No
Other:
Clear selection
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