icnext COVID-19 Form

COVID-19 Daily Health Checklist for icnext Students

COVID-19 Daily Health Checklist for icnext Students

COVID-19 Daily Health Checklist for icnext Students

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.

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.

A copy of your responses will be emailed to the address you provided.

A copy of your responses will be emailed to the address you provided.