YMCA of the Triangle Overnight Camp Program
COVID-19 MEDICAL PROTOCOLS AND PRACTICES
In light of our c
urrent reality, we have elevated our medical protocols and practices using recommendations from the
Centers for Disease Control and Prevention (CDC), American Camp Association (ACA), North Carolina State Health and
Human Services, Pamlico County Health Department, and Wake County Health Department and with guidance from our
Camp Medical Advisory Committee. As always, we will continue to monitor guidance from the CDC and the State of North
Carolina. We recognize that COVID-19 guidelines will change as the landscape changes, and will adapt our programming
and protocols accordingly.
To minimize illness at Camp, we ask that you monitor the health of each participant daily beginning 10 days prior to their
arrival at Camp.
If your child is taking part in a program at a YMCA of the Triangle Overnight Camp without you, please complete the form
below, sign at the bottom, and send the actual paper form with your child as they depart for the program.
If your child is taking part in a program at the YMCA of the Triangle Overnight Camp with you, please use the below as a
template to monitor both your temperature and your child(ren)’s. Upon arrival, you will be asked to verbally confirm
completion but will not be asked to submit the actual paper form to Camp.
10-Day Temperature Check
Start date of temperature check/symptom screening: Day ______________________________ Month _________________________________________
(A fever is 100.4 and greater. Symptoms of COVID-19: Fever, Chills, Shortness of breath/difficulty breathing,
loss of taste/smell and new cough.)
Day 10 9 8 7 6
Temperature
YES NO YES NO YES NO YES NO YES NO
Symptoms
Present
YES NO YES NO YES NO YES NO YES NO
Day 5 4 3 2 1
Temperature
YES NO YES NO YES NO YES NO YES NO
Symptoms
Present
YES NO YES NO YES NO YES NO YES NO
Par
ticipant Name: _________________________________________________________________
PRE-SCREENING ASSESSMENT
Please read carefully and check the appropriate answer. Have you in the last 10 days:
Been diagnosed with, or quarantined in relation to, COVID-19 or living in the same household as
a person with symptomatic laboratory-conrmed COVID-19?
YES NO
Not Applicable
Experienced, or been around anyone experiencing, any symptoms of COVID-19?
YES NO
Had any reason to believe you have COVID-19?
YES NO
Traveled to/from CDC countries with widespread ongoing transmission with travel restrictions?
YES NO
Returned from a cruise ship or river cruise voyage?
YES NO
If you answer yes to any of these questions, or record a temperature of 100.4 or greater, please call the number
below (as it corresponds to your program) for further guidance.
• Non Y-Guides programs at Camp Sea Gull and Camp Seafarer: 252-249-1212
• Non Y-Guides programs at Camp Kanata: 919-556-2661
• All Y Guides Programs: 919-719-9695
(The section below is to be completed by those attending programs without a parent.)
Your signature indicates that you have completed this health screening 10 days prior to Camp and to the best of our
ability. We understand that arriving to Camp healthy is vital to a healthy Camp experience for all campers, sta and
the community.
Parent Signature:
_________________________________________________________________________________ Date: ____________________________________________
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signature
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