Quiring Chamber Music Camp Daily Participant Screening Form
You are required to fill out our Daily Participant Screening Form every day with regards to your child’s health and submit it online at the beginning of the day, prior to their arrival at camp, before your child is permitted to participate in the camp activities.
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Parent/Guardian Last Name, First Name *
By entering my name and submitting the contents of this form, I certify that my answers are true to the best of my knowledge and in good faith.
Camp Day (Date) *
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Camp Participant Last Name, First Name *
In the past 24 hours, has your child experienced the following cold, flu or COVID-19 like symptoms: *
Required
If you answered YES to ANY symptoms above:
If you answered YES to any symptoms above, your child will not be permitted to attend camp.
Please self-isolate at home, and contact your doctor or primary care provider for further instructions.

If you answered NO to ALL of the above, please complete the next part of the form.
In the past 14 days, has your child... *
Required
If you answered YES to ANY of the above:
If you answered YES to any of the above, your child will not be permitted to attend rehearsals until cleared by a public health official.


If you have answered NO to ALL of the above, have a great day at camp!
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