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HS Health Clearance Form

  • Please fill out this questionnaire, prior to bringing your child to Hebrews Cool Club. Thank you
  • Pick a Date
  • If the answer to any of the questions is yes, please contact your doctor, and please do not bring your child to Hebrews Cool Club today, until they are cleared.
    If your child has any of these symptoms and you have been cleared by a doctor that it is not covid related and not contagious  please contact us for clearance to attend Hebrews Cool Club today  

  • Should be Empty:
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Lyndhurst Chabad Family Center
1413 Golden Gate Blvd. #205
Mayfield Heights, OH 44124