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COVID-19 Questionairre
ALL FAMILIES MUST BE ASKED DAILY.
Date
*
Wednesday 7/15
Thursday 7/16
Friday 7/17
Monday 7/20
Tuesday 7/21
Wednesday 7/22
Thursday 7/23
Friday 7/24
Monday 7/27
Tuesday 7/28
Wednesday 7/29
Thursday 7/30
Friday 7/31
Monday 8/3
Tuesday 8/4
Thursday 8/6
Monday 8/10
Friday 8/7
Date
Monday, June 1st
Tuesday, June 2nd
Wednesday, June 3rd
Thursday, June 4th
Friday, June 5th
Monday, June 8th
Tuesday, June 9th
Wednesday, June 10th
Thursday, June 11th
Friday, June 12th
Monday, June 15th
Tuesday, June 16th
Wednesday, June 17th
Thursday, June 18th
Friday, June 19th
Monday, June 22nd
Tuesday, June 23rd
Wednesday, June 24th
Thursday, June 25th
Friday, June 26th
Monday, June 29th
Tuesday, June 30th
Wednesday, July 1st
Thursday, June 2nd
Friday, July 3rd
Monday, July 6th
Tuesday, July 7th
Wednesday, July 8th
Thursday, July 9th
Monday, July 13th
Friday, July 10th
Member's Name:
*
Addyson Pettigrew
Affinity Fuller
Aidan Nuhsbaumer
Alexander Quillen
Alice Siefken
Alexa Kramp
Alexander Braun
Alice Brunmaier
Alix Berg
Aries Ellison
Ashlyn Harty
Ashton Spitzer
Aubrey Ramsey
Ava Nannenga
Avery Gauer
Avery Kleinsasser
Ayden Barton
Beckett Vetter
Bennett Trevor
Bentlee Zerr
Bentley Ramsey
Bode Murphy
Braxton Schwab
Brayden Auske
Brayden Barton
Braylen Beckman
Brecken Murphy
Bristol Fuhrmann
Broly Senloungrat
Brooklyn Younkins
Boston Younkins
Caleb Clark
Calvin Wilson
Cameron Rombs
Carson Roethler
Carsyn Cordier
Carver Connolly
Cayden Desroiser
Cayden Maunu
Chays Mansfield
Chestyn Krausz
Connor Oschner
Colt Westlund
Destiny Fuher
Deva Peltier
Dominc Peterson
Easton Waldman
Ella Brick
Elroy Woods
Emily Christianson
Emily Genzler
Emma Braton
Ethan Krausz
Finneas DuToit
Gabriel Tadoa
Gwendolyn Bunke
Haidyn Pettigrew
Hayden Rombs
Holden Bohms
Hunter Werner
Isabella Braun
Isabella Spitzer
Ivy Keeley
Jackson Nuhsbaumer
James Reiss
Jayden Harty
JayKobe Zerr
Jordyn Gilroy
Kadence Hoeltzner
Kailea Ellison
Karsten Sippel
Kayson Connolly
Kellen Rathert
Kenadee Fettig
Kenley Sachs
Lane Shoultz
Lexxiana Randle
Lillian Broderson
Lydia Heinsohn
Lyla Clairmont
Madison Hein-Chapin
Maria Mathern
Mark Gilroy
Mason Genzler
Mason McBrayer
Mason Stahl
Mattie Ulmer
Meadow Westlund
Mia Hubert
Mila Hobbs
Mollie Ulmer
Nathan Shaw
Noah Hobbs
Noah Hubert
Oliver Heinsohn
Owen Entzel
Piper Shoultz
Raylee Brick
Ryleigh Suedmeier
Ryley Hawley
Rylie Peldo
Ryliee Zens
Shaylee Rathert
Sheridan Metz
Skarlett Bohms
Trey Bendewald
Tucker Brick
Tucker Reinert
Tyler Black
Tyson Clark
Waylon Woods
Member's Name:
Addyson Pettigrew
Affinity Fuller
Aidan Nuhsbaumer
Alice Siefken
Alexa Kramp
Alexander Braun
Alice Brunmaier
Alix Berg
Aries Ellison
Ashlyn Harty
Ashton Spitzer
Aubrey Ramsey
Ava Nannenga
Avery Gauer
Avery Kleinsasser
Ayden Barton
Bentlee Zerr
Bentley Ramsey
Bode Murphy
Brayden Barton
Braylen Beckman
Brecken Murphy
Bristol Fuhrmann
Brooklyn Younkins
Boston Younkins
Caleb Clark
Calvin Wilson
Cameron Rombs
Carson Roethler
Carsyn Cordier
Carver Connolly
Cayden Desroiser
Chestyn Krausz
Colt Westlund
Cully Peterson
Destiny Fuher
Deva Peltier
Ella Brick
Elroy Woods
Emily Christianson
Emily Genzler
Ethan Krausz
Finneas DuToit
Gabriel Tadoa
Gwendolyn Bunke
Haidyn Pettigrew
Hayden Rombs
Holden Bohms
Hunter Werner
Isabella Braun
Isabella Spitzer
Ivy Keeley
Jackson Nuhsbaumer
Jayden Harty
JayKobe Zerr
Jordyn Gilroy
Kailea Ellison
Karsten Sippel
Kayson Connolly
Kellen Rathert
Lane Shoultz
Lexxiana Randle
Lydia Heinsohn
Lyla Clairmont
Mark Gilroy
Mason Genzler
Mason McBrayer
Mason Stahl
Mattie Ulmer
Meadow Westlund
Mia Hubert
Mila Hobbs
Mollie Ulmer
Nathan Shaw
Noah Hobbs
Noah Hubert
Oliver Heinsohn
Piper Shoultz
Raylee Brick
Ryleigh Suedmeier
Ryley Hawley
Rylie Peldo
Shaylee Rathert
Sheridan Metz
Skarlett Bohms
Trey Bendewald
Tucker Brick
Tyson Clark
Waylon Woods
Member's Name:
Affinity Fuller
Aidan Nuhsbaumer
Alexa Kramp
Alexander Braun
Alice Brunmaier
Alix Berg
Aries Ellison
Aubrey Ramsey
Ava Nannenga
Avery Kleinsasser
Bentlee Zerr
Bentley Ramsey
Bode Murphy
Braylen Beckman
Brecken Murphy
Bristol Fuhrmann
Caleb Clark
Carson Roethler
Carsyn Cordier
Carver Connolly
Cayden Desroiser
Colt Westlund
Destiny Fuher
Deva Peltier
Ella Brick
Emily Genzler
Finneas DuToit
Gabriel Tadao
Gwendolyn Bunke
Holden Bohms
Hunter Werner
Isabella Braun
Ivy Keeley
Jackson Nuhsbaumer
JayKobe Zerr
Kailea Ellison
Karsten Sippel
Kayson Connolly
Lane Shoultz
Lexxiana Randle
Lydia Heinsohn
Lyla Clairmont
Mason Arnott
Mason Genzler
Mason McBrayer
Mattie Ulmer
Meadow Westlund
Mila Hobbs
Mollie Ulmer
Nathan Shaw
Noah Hobbs
Oliver Heinsohn
Piper Shoultz
Raylee Brick
Ryley Hawley
Rylie Peldo
Sheridan Metz
Skarlett Bohms
Tucker Brick
Tyson Clark
1. In the last 10 days, has your child/children been within 6 feet (unprotected) of anyone with a positive COVID-19 or Coronavirus diagnosis?
*
YES
NO
2. Does your child/children or anyone in close contact with your child/children have a fever or temperature over 100.0f or greater?
*
YES
NO
3. Does your child/children or anyone in close contact with your child/children have other symptoms of a lower respiratory condition? (sore throat, cough, shortness of breath?)
*
YES
NO
4. Has your child returned from travel abroad in the last 14 days?
*
YES
NO
5. Has your child been on a cruise or in another setting with confined crowds in the last 14 days?
*
YES
NO
IF ANSWERED "YES" TO ANY OF THESE QUESTIONS, YOUR CHILD WILL NOT BE ABLE TO ATTEND THE CLUB TODAY.
PARENT MUST SIGN THEIR NAME BELOW:
*
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