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COVID Screening for Kol Dorot Simchat Torah Day
Please complete the form below for each family attending Kol Dorot's Simchat Torah Day. Reach out to
directors@deerkilldaycamp.com
with any questions.
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Email
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Your email
Please enter today's date (10/11/2020):
*
MM
/
DD
/
YYYY
Please enter the names of every member of your family attending (including last names)
*
Your answer
Does every member of your family attending have a temperature below 100.4 degrees?
*
Pass
Fail
In the past 14 days has any member of your family:
*
Yes
No
experienced any symptoms of COVID-19 (fever,cough, shortness of breath, chills)
knowingly been in close or proximate contact with anyone who has tested positive for COVID-19 or who has had symptoms of COVID-19
tested positive for COVID-19
Yes
No
experienced any symptoms of COVID-19 (fever,cough, shortness of breath, chills)
knowingly been in close or proximate contact with anyone who has tested positive for COVID-19 or who has had symptoms of COVID-19
tested positive for COVID-19
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