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 with any questions.
Email address *
Please enter today's date (10/11/2020): *
Please enter the names of every member of your family attending (including last names) *
Does every member of your family attending have a temperature below 100.4 degrees? *
In the past 14 days has any member of your family: *
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
Never submit passwords through Google Forms.
This form was created inside of Deerkilldaycamp. Report Abuse