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SOI Parent Digital Signature
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Child FULL Name
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Your answer
Your Name
*
Your answer
Your Phone Number
*
Your answer
Health certification: to the best of your knowledge, the following is true:
*
No Exposure to anyone positive, or currently undergoing testing for COVID-19
No Fever above 99.5
No Persistent/productive cough with wet secretions, thick mucus, or pus draining from the eyes.
No Consistent runny nose (more than 10 wipes in an hour), either clear, yellow, or green mucus.
No Fatigue, lethargy, or extreme fussiness.
Required
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