PRE-CLASS HEALTH SCREENING

MUST BE COMPLETED BY PARENT/GUARDIAN BEFORE ATTENDING IN-STUDIO CLASSES

Does your child have any of the following symptoms? (check all that apply):
Has the student had contact with someone in the previous 14 days with a confirmed or presumptive diagnosis of COVID-19

Open Space Studio, Inc.  ©2020  19R Court Street

Plymouth, MA 02360

(781) 929-7141