Please list any allergies or medical conditions we should be made aware of.
By checking this box, I agree NOT to send my child/grandchild to Elevate if they are experiencing any of the following symptoms: fever of 100.5 or higher, chills, cough, shortness of breath, fatigue, body aches, headache, loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea. *
By checking this box, I acknowledge the potential risks of face to face interaction during this pandemic and will not hold Olivet Evangelical Free Church responsible should my child contract COVID-19. *