This form MUST be completed every time your child is planning to attend an in-person @akiva class or program. It must be filled out individually for each member of the family attending an @akiva in-person program.
If you answer yes to any of these questions, your child will not be permitted to enter into the @akiva building until cleared by their doctor.
If you answered no to all of these questions, your child may attend @akiva programs as scheduled and/or enter into the @akiva building.