Fall 2020 Participation

Please complete this questionnaire to determine if your Kinetic Kid is appropriate for in-person programs this season.

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* 1. Child's name

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* 2. Would you be able to provide an adult volunteer for your child? (Parent, caregiver, or sibling over 16 y/o)

Yes

No

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* 3. Is your child able to maintain social distance guidelines at all times, with or without parent/adult supervision?

Yes

No

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* 4. Is the adult volunteer able and willing to wear a mask at programs? Masks are required at check-in and anytime within 6 feet of someone outside your household.

Yes

No

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* 5. Equipment shared between participants will be limited and sanitized when used.
Is your child able to maintain cleanliness with any shared equipment? (refrain from putting hands in mouth, putting equipment in mouth, etc.)

Yes

No

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* 6. What is your comfort level returning to in-person programs? Keep in mind this will require your family to be near other families and although Kinetic Kids has multiple new protocols in place to maintain safety, it is not feasible for us to be able to control 100% of outside factors.

0 - not comfortable at all

5 - very comfortable

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 7. Would your child be successful in a class without 1:1 assistance from you or another volunteer?

Yes

No

Other