COVID-19 Health screening Questionnaire

All participants MUST complete the COVID-19 Health Screening Questionnaire every time you report to a senior center activity. This questionnaire is NOT intended to take the place of medical advice, diagnosis, or treatment. If you should answer YES to any of the questions included on this checklist, please contact the senior center, before participating. Click on the COVID-19 Health Screening button to the right to complete the health questionnaire. 


All participants MUST have a signed COVID-19 waiver on file. One signature is good for all activities. Click on the COVID-19 Waiver button to the right to sign the waiver.

Please keep in mind the following:
  • All participants MUST be senior center members. Call 231-922-4911 to verify if necessary.
  • If there is a fee for the senior center activity - come with correct change to minimize contact. 
  • If you don't feel well, please stay home.
  • Please bring your own equipment for all activities. Senior Center equipment may not be available for public use.
  • Please bring your own water bottle as drinking fountains have been turned off.
  • All participants are asked to maintain physical distancing of six feet or less from all non-household members.
  • Wash your hands frequently, or bring hand sanitizer for your personal use.
  • A face covering is required to participate in senior center activities.

COVID-19 Health Screening

COVID Screening1

COVID-19 Waiver

COVID Waiver