Adults Information Card

Adults Information Card
  • Participant’s Info
  • Health
  • Covid-19
  • Goals
  • Acknowledgements
Address
Address

Kids Information Card

Kids Information Card
  • Participant’s Info
  • Parents/Guardians
  • Health
  • COVID-19
  • Acknowledgements

1. REQUEST FOR ADMISSION OF CHILDREN.

I hereby request that “Strong by Jumping” admit onto its premises under the supervision of the undersigned Sponsoring Member each of the following minor children (“Children”) of the undersigned Parent or Legal Guardian:
Address
Address

Kids Group Information Card

Covid-19
Event Time

Participants

Does your child have a cough?
Has your child experienced recent loss of taste or smell?
Does your child have a fever now or have they in the past 14-21 days?
Is your child experiencing shortness of breath or difficulty in breathing?
Has your child come in contact with any confirmed COVID-19 positive patients in the last 14 days?
Is your child experiencing other flu-like symptoms, such as gastrointestinal upset, headache, or fatigue?
Does your child have heart disease, kidney disease, diabetes or any auto-immune disorders?
Has your child travelled in the past 14 days to any regions affected by COVID-19 (as relevant to your location)?

Signature of main participant’s Parent/Guardian

Party Agreement

Party Agreement

PERSONAL DATA

FINANCE

ACKNOWLEDGEMENTS


go to VIEWS