Junior Lifeguard Daily COVID Assessment

What's today's date?*

What is your child's name?*

Where is your child a junior lifeguard at?*

In the past 10 days, was your child sent home sick or absent due to illness?*

In the past 10 days, was your child diagnosed with COVID-19 or did they have a test confirming that they had the virus?*

Within the past 14 days, has your child had close contact with anyone in the household who was diagnosed with COVID-19 or who had a test confirming they have the virus?*

Within the last 14 days, has your child had close contact with someone outside the household who was diagnosed with COVID19 or who had a test confirming they have the virus?*

In the past 10 days, has your child experienced a fever (>100F), Cough, Severe Headache, Sore Throat, Loss of Taste or Smell, Difficulty Breathing, Vomiting or Diarrhea that cannot be explained by another reason?*

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