{"content":[{"text":"CAMPER & STAFF HEALTH CHECKLIST","bbox":{"left":0.312157,"top":0.043485,"width":0.375706,"height":0.020864}},{"text":"Name: _________________________________","bbox":{"left":0.058824,"top":0.095682,"width":0.42325700000000005,"height":0.020818000000000003}},{"text":"Date: __________________","bbox":{"left":0.626471,"top":0.095682,"width":0.248745,"height":0.020818000000000003}},{"text":"Recent Illness / exposure (new onset of symptoms in the past ten days or less) \n No illness or any of these symptoms within the past ten days or less. \n Proceed to exposure question. \n Fever greater than 99.9 degrees F. \n Chills \n New loss of taste or smell \n Nasal drainage, congestion, or sneezing \n Sore throat \n Cough \n Difficulty breathing or shortness of breath \n Diarrhea, Nausea or Vomiting \n Muscle aches, joint pain, or fatigue","bbox":{"left":0.058824,"top":0.13053,"width":0.6835870000000001,"height":0.229666}},{"text":"Yes, the camper had one or more of these symptoms in the past ten days or less. \n All three of the following conditions must be met for the camper to check in today \n The camper has been well & free of fever for at least three days or more \n No fever meds (Tylenol, Motrin, etc) since Thursday @ Noon \n Nobody else is sick in our household with any of these symptoms","bbox":{"left":0.088235,"top":0.375682,"width":0.7660730000000001,"height":0.09051500000000001}},{"text":"Exposure (14 days or less) \n No exposure to anyone with fever or any of the symptoms listed above within 14 days. \n No exposure to anyone that is known to be Covid positive within the past 14 days. \n Travel (14 days or less) \n No international travel or travel to any highly impacted area in the past fourteen days. \n Chronic Symptoms Disclosure \n My child has one or more of these symptoms, but the onset is not new or not changed. \n This should be reflected on the Camper Health Form. \n Emergency Contact that can pick up the camper if they become ill while they are at camp.","bbox":{"left":0.058824,"top":0.492954,"width":0.8089799999999999,"height":0.23687899999999995}},{"text":"Name:","bbox":{"left":0.058824,"top":0.757955,"width":0.05800000000000001,"height":0.020818000000000003}},{"text":"__________________________________________________","bbox":{"left":0.176471,"top":0.757955,"width":0.5454139999999998,"height":0.020818000000000003}},{"text":"Phone:","bbox":{"left":0.058824,"top":0.806742,"width":0.062313999999999994,"height":0.020818000000000003}},{"text":"__________________________________________________","bbox":{"left":0.176471,"top":0.806742,"width":0.5454139999999998,"height":0.020818000000000003}},{"text":"Responsible Adult:","bbox":{"left":0.058824,"top":0.85553,"width":0.163686,"height":0.020818000000000003}},{"text":"____________________________________________ \n This is the person dropping the camper off to camp or transportation pickup.","bbox":{"left":0.235272,"top":0.85553,"width":0.5974539999999999,"height":0.03517399999999993}},{"text":"Relationship:","bbox":{"left":0.058824,"top":0.911742,"width":0.11349,"height":0.020818000000000003}},{"text":"____________________________________________","bbox":{"left":0.235294,"top":0.911742,"width":0.479924,"height":0.020818000000000003}}],"images_bbox":[],"images_bbox_not_text_overlap":[]}