For the protection of all of our patrons and employees we have created an online form for those that attend Cheer Destiny to fill out in the event if you have attended Cheer Destiny and someone from your household has been showing symptoms or has tested positive for COVID-19. Your information and identity is kept confidentially and will only be shared with the local health department in accordance with contact tracing guidelines.

Parent Full Name *

Email *

Phone *

Child's Name *

Who has shown symptoms or tested positive for COVID-19?

Parent

Child

Spouse

Other (Lives in same household)

Name of Individual

When was the last time that individual was present at Cheer Destiny?

What time were they present?

Have they received a COVID-19 test?

Yes

What is the date of their test?

Were they showing symptoms or test positive for COVID-19?

Symptoms

Tested Positive