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Biddeford Teen Center COVID-19 Survey

  1. Please fill out this form when your teen may want to enter the center on non-registered days.
  2. Is your child a Biddeford Resident or Biddeford High School Student?*
  3. Has your child been diagnosed with COVID-19 in the past 28 days?
  4. Does your child live with someone who has been diagnosed with COVID-19 or is symptomatic in the past 14 days?
  5. Does your child have any of the following symptoms that are explained or different from known health conditions?
  6. Is the Teen Center staff permitted to take forehead temperature?
  7. Leave This Blank:

  8. This field is not part of the form submission.