My student, and our household do not have any of the following symptoms:
- fever or
- cough or
- shortness of breath or
- sore throat or
- fatigue or
- muscle ache or
- new loss of smell and/or taste or
- runny nose/congestion or
- headache or
- diarrhea or
- nausea or
- vomiting or
- chills
By submitting this form, I attest that we understand and will adhere to our county's screening and prevention protocols. If symptoms occur in any of our household's members, the Amp student will not attend any size group meetings until it is safe to do so. I also understand that there is risk involved in sending my student to any in-person meeting, and accept that.