שבט תפוח

עמוד הבית
Prom
Store
לוח שנה
הרשמה
Health Form
מידע עלינו
תרומות
הודעות שבטיות
צור קשר
תמונות
Items
Copy of טיול עניבות 2020
More

Use tab to navigate through the menu items.

צופי ניו יורק

Screen Shot 2020-08-16 at 8.33.17 PM.png

Covid-19 Health Declaration

How are you feeling today?

Chanich's First Name

Chanich's Last Name

Choose grade

Participant's temperature is lower than 98.6°F/ 37.5°C

Participant and family members are not experiencing the symptoms: fever, cough, sore throat, loss of taste or smell or shortness of breath that started in the past 10 days

Participant or any member of the household did not test positive for COVID in the past 7 days

Participant was not traveling by air in the past 7 day

I declare that the info I’ve provided is accurate & complete

Enter PCR result (JPG, PNG, GIF, JPEG, JPE, JFIF, BMP, HEIC)

Upload File

Upload supported file (Max 15MB)

Parent's Email

Thanks for submitting!

Call Us: 914-282-9301 / tapuach@israelscouts.org

עמוד הבית
Prom
Store
לוח שנה
הרשמה
Health Form
מידע עלינו
תרומות
הודעות שבטיות
צור קשר
תמונות
Items
Copy of טיול עניבות 2020
More

Use tab to navigate through the menu items.