ELC Pre-screen Questionnaire

ELC COVID Pre-screen Questionnaire

Please complete for each individual (child, parent, staff, visitor) that will be entering our building for a length of time longer than 10 minutes. If you are a parent of more than one child, this means you will need to fill out this questionnaire for each child.

  • If you are filling this out for a child, use THEIR NAME
  • This field is for validation purposes and should be left unchanged.