ATC Summer Camps

 

COVID-19 Screening

Date

ACKNOWLEDGEMENT OF DAILY SCREENING

I, the camper's parent and/or legal guardian, affirm that the individual has been monitored for the following symptoms of COVID-19 and shown no symptoms: fever of 100.4°F or greater, chills, cough, shortness of breath, fatigue, muscle or body aches, headache, loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea. I affirm that the individual has not traveled internationally or from any state currently on New York State's travel advisory list, or been in contact with anyone suspected of carrying COVID-19. I affirm that the individual has not taken any fever-reducing medication in the past 24 hours.