Camper Name(s):*
 
Has/have your camper(s) experienced any COVID-19 symptoms (shortness of breath, fever, coughing, sore throat, vomiting, diarrhea, etc.) in the last two weeks?*
 
Has anyone in your household (including your camper) come in contact with someone who has tested positive for COVID-19 in the last two weeks?*
 
Is/are your camper(s) currently awaiting the results of a COVID-19 test?*
 
I understand that it is my responsibility to monitor the health of my camper(s) and to withdraw their attendance from camp if they are not in good health.*
 
I verify that I have answered all the above questions honestly to the best of my abilities.*
 
Parent or Guardian Digital Signature (Type Name):*
 
Are You a Zoo Member?*
 
Date:*