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TBE Religious School Covid-19 Screening Form

TEMPLE BETH-EL RELIGIOUS SCHOOL
COVID HEALTH SCREENING


Please fill out this form for each child that will be attending Religious School one form per child.  If your child attends on other days of the week, you will need to fill out the form each time they are here.  

It is mandatory that this form be completed before you come to the Temple. 

If you are experiencing any of the symptoms listed in the survey, please do not come to the Temple and consult a medical professional.  

Thank you!

COVID-19 HEALTH SCREENING FORM
Remaining socially distanced and wearing a face mask are required on Temple grounds (inside and outside the Temple).
Thu, October 28 2021 22 Cheshvan 5782