Studio Check-In
Attendance & Health Screening
Date
-
Month
-
Day
Year
Date
Artist(s) Name
*
First Name
Last Name
Back
Next
Please check off to agree:
My child has NOT been feverish or has NOT measured a temperature of 100.4 in the past 14 days.
My child does NOT or has not had any symptoms (like sore throat, nasal congestion, runny nose, new or worsening cough, shortness of breath, fatigue, headache, body ache, nausea, vomiting, diarrhea or loss of taste & smell) in the last 14 days.
My child has NOT had prolonged contact with anyone know to possibly have COVID-19 or COVID-19 symptoms (listed above).
I am willingly admitting my artist into A&S studio today. I understand while A&S is doing all they can to make a safe space, that there are no guidelines or practices that will remove 100% the risk to exposure to COVID-19.
I agree by signing that the above statements are true and that I agree to the studio’s COVID-19 waiver & release which I have signed in the enrollment process.
Submit
Should be Empty: