COVID Sign-in | orchardsdance

Covid-19 Health Declaration

Please fill out this form every time you enter Orchard's Dance Studio, once per household for all teachers, students and parents. Contact tracing requirements mandate we collect two pieces of contact tracing information.

First Name

Last Name

Phone

Number of people from your household

Date

Time In

05:00 PM

Expected Time Out

06:00 PM

I declare that the info I’ve provided is accurate & complete

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