Winter 2021 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, sibling, etc. over 16 y/o)

Yes

No

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* 3. Is your child able to maintain social distance guidelines, 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. Would your child be successful in a class without 1:1 assistance from you or another volunteer?

Yes

No

Other