Big Star Covid-19 Parent Questionnaire
No one will be permitted in our facility if they have been diagnosed with COVID-19 (have not recovered or are still in the 14 day quarantine period), had symptoms of COVID-19 or been exposed to someone who has been diagnosed with COVID-19 or suspected to have COVID-19 in the last 14 days. If your student is showing any of these symptoms and they are related to an existing condition that is not COVID-19, please provide a doctor's note, and email office@bigstarstudios.com
Week of: *
Student First Name: *
Student Last Name: *
Big Star Class(es) *
Required
Has your student had a fever of 100.4°F in the last 48 hours? *
Is your student experiencing a cough, stuffy nose, shortness of breath or a sore throat? *
Is your student experiencing unusual fatigue? *
Has your student had a loss of sense of taste or smell? *
Has your student been vomiting or had diarrhea in the past 24 hours? *
I agree to contact Big Star Studios if my student begins to show any of the above symptoms. I understand that my student cannot participate if they have any of the above symptoms, and should stay home. If my student has any of these symptoms, and they are unrelated to COVID-19, I will provide a doctor's note with a diagnosis unrelated to COVID-19. *
Required
By checking this box and entering my name below, I agree that I will check these symptoms each day before dropping my student off at Big Star. *
Required
Parent First Name *
Parent Last Name *
Cell # *
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