2020-2021 Tustin Dance Center COVID Waiver
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1. Email Address *
2. Parent Name *
Dancer Name *
Emergency number of parents *
5. (Question 1) Have you or anyone in your household had a fever in the last 72 hours? *Mark one choice only *
6. (Question 2) Do you have any of the following symptoms today? COVID-19 symptoms include- headache, sore throat, fever, dry cough, recent loss of taste or smell, shortness of breath, body aches, fatigue, diarrhea, vomiting, abdominal pain *Mark One Choice Only *
7. (Question 3) Has the student knowingly come into contact with a positive COVID-19 patient in the last 14 days? *Mark one Choice Only *
Screening... Please skip to the next item (#8)
8. Do you consent to your child's temperature being taken? *
Things to be aware of before class/camp... Please skip to the next item (#9)
9. Please explain social distancing to your child at home. We will do this at the studio as well, but it will help if you have gone over this at home. *
Required
10. Please explain to your child they will wash their hands upon entering the studio and will have the opportunity to do so after using the restroom or eating a snack. *
Required
11. Please do not carpool with other students and families as physical distancing must be adhered to during transportation. *
Required
12. Parents must wait outside as their child walks into the front of the studio and out of the back of the studio. Parents will not be allowed into the building. *
Required
13. Students are REQUIRED to wear their face masks at all times while at the studio. Masks need to be worn when entering/exiting the building, in the lobby and during classes. *
Required
14. Students will be required to bring their own water bottle and snacks if needed. Students cannot use the water cooler in the lobby. Students will be required to wash their hands prior to consuming their snacks and cannot share. *
Required
15. If there is an hour or more break or gap between classes dancers will need to be picked up and returned for their next class time. Dancers will not be allowed to hangout in the waiting room. *
Required
16. Thank you! Have a great time in class! Mark all that apply *
Required
17. Do you have a doctor's note for seasonal allergies, asthma or a negative COVID-19 test?* *
18. Do not attend class if you have said yes to COVID-19 symptoms or you did not consent to following the safety protocols. If you have shown symptoms, please do not attend in studio classes until you are symptom free for at least 7 days and are willing to follow our safety protocols. If you have consented to follow our protocols and have not displayed any symptoms, you are welcome to physically attend class! Please email us at tdcfrontdesk@gmail.com with any questions. *
Required
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