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YOKE Summer Activities Registration
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YOKE Summer Activities Registration
YOKE Summer Activities Registration
Jonathan Haskell
2020-06-08T16:41:00+00:00
Summer Activities Registration
Due to policies and guidelines provided by the Knox County Health Department, CDC, and other local authorities, YOKE will be limiting Summer Activity registration to 40 participants. We will have a waiting list for anyone whom registers beyond the first 40 students.
Which session (location) will your student be attending?
*
Due to health department and state restriction, we are limited to 40 participants at this time. Students will need to be registered for each session separately. Please make sure you are selecting the correct date and location.
July 7th - 1st Baptist Church Concord (West Knox County)
July 14th - Camp Tipton (Blount County) -
July 21st - Camp Tipton (Blount County)
Student Name
*
First
Last
Middle School Name
*
Please use full name of school
Grade
entering fall 2020
Parent/Guardian Name
*
First
Last
Home Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Parent/ Guardian Phone
*
Parent/Guardian Email
*
Emergency Contact
*
Preferably someone other than a parent/guardian who would be available in case of an emergency in the occurrence that the above parent/guardian can not be reached.
First
Last
Emergency Contact Phone Number
*
Has your middle school student, or any member of your household been in close contact with a confirmed case of COVID-19?
*
Yes
No
Is your middle school student or anyone in your household experiencing a cough, shortness of breath, or sore throat?
*
Yes
No
Has your middle school student or anyone in your household had a fever in the last 48 hours?
*
Yes
No
Has your middle school student or anyone in your household had a new loss of taste or smell:
*
Yes
No
Has your middles school student or anyone in your household had vomiting or diarrhea in the last 24 hours?
*
Yes
No
Are there any other medical conditions, including allergies, that we need to be aware of - in case of emergencies
*
Please indicate "none" if there are no other medical condition or allergies