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Medical Questionnaire

Please fill out the following form to help us understand your child's physical condition.

If registering more than one child, please complete for each child.

Have you or your child been in close contact with a confirmed case of COVID-19 in the past 14 days?
Is your child experiencing a cough, shortness of breath or sore throat?
Has your child had a fever or flu-like symptoms in the last 48 hours?

Thanks for submitting!

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