Family Camp Pre-Screening

Last Name

COVID-19 Pre-Screening

Please read and respond honestly to each question
●Fever or chills ●Cough ●Shortness of breath or difficulty breathing ●Fatigue ●Muscle or body aches ●Headache ●New loss of taste or smell ●Sore throat ●Congestion or runny nose ●Nausea or vomiting ●Diarrhea