Has your child or anyone in your household experienced the following symptoms in the past 7 days? Fever Cough Fatigue Shortness of breath Loss of taste or smell * No Yes
Has your child or anyone in your household had a positive COVID-19 test in the past 7 days? * No Yes
Has your child or anyone in your household had close contact with confirmed or suspected COVID-19 case in the past 7 days? * No Yes
Has your child had any fever reducing medicine in the past 48 hours? * No Yes
Is anyone in your household pending a covid result?? * No Yes
* I agree to notify Preschool Playhouse Inc DBA Children's Funland immediatly if any of the above information changes. Initial here: