שבט תפוח

How are you feeling today?

Chanich's First Name

Chanich's Last Name

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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

Participant and family members have not been in close contact with a Covid-19 patient and did not visit a restricted state in the last 14 days

Participant does not live in an address under red area

Participant's class and/or school is not in quarantine

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

Parent's Email

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