Quarantine Form
Please fill out this form if your dancer needs to quarantine or miss dance class for Covid-19 related reasons. We will contact you within 24 hours after receiving the form with virtual class information and further instructions, if necessary.
* Required
Email address
*
Your email
Dancer name
*
Your answer
Name of person filling out this form
*
Your answer
Has your dancer tested positive for Covid-19?
*
Yes, my dancer has tested positive
No, my dancer has tested negative
My dancer is awaiting test results
My dancer has not been tested
Other:
If your dancer has tested positive, what date did they receive their positive test result?
MM
/
DD
/
YYYY
If your dancer has not tested positive but needs to quarantine, please select all that apply.
My dancer has been identified as a close contact to a positive case and needs to quarantine
My dancer is experiencing Covid symptoms and needs to quarantine
My dancer has traveled out of the state and needs to quarantine
My dancer has no Covid health issues but is no longer comfortable attending in-person classes
Other:
Please select the date that your dancer's quarantine is beginning
*
MM
/
DD
/
YYYY
Please select the date that your dancer last attended dance class
*
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Aspire Dance Center.
Report Abuse
Forms
