Murray Camp Covid-19 Daily Parent Form
Child's Name or Staff Name if You Are A Staff Member
Today or in the past 24 hours, have you or any household members had any of the following symptoms? (Check all that apply.)
Shortness of Breath
Gastrointestinal symptoms (diarrhea, nausea, vomiting)
New Muscle Aches
To the best of your knowledge, in the past 14 days, have you or any household member had close contact with a person known to be infected with the novel Coronavirus (COVID-19)?
Should be Empty: