City of Des Moines, WA

Childs Full Name

School

Do you have a temperature today that registers at or above 99.0?

Yes
No

Experiencing any of the following symptoms; subjective fever (felt feverish), new or worsening cough, shortness of breath, sore throat, congestion or runny nose?

Yes
No

If you answer "yes" to any of the symptoms listed above for the camper, or they registered a temperature at or above 99.0 F or higher, notify your manager. Isolate the child and contact their guardian to be picked up immediately.