LMS Girls COVID-19 Screen

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Below are screening questions for possible COVID-19 symptoms. If you should answer yes to any of the questions below you will not be permitted to be on campus and must contact your coach or athletic trainer immediately.

Email *

Athlete Last Name *

Athlete First Name *

Date *

YYYY

1. Have you have recently had any contact with anyone that is/has tested positive for COVID-19? 2. Do you have a new or worsening cough or shortening of breath/difficulty breathing? 3. Do you have a fever? (subjective or greater than 100 degrees F) 4. Do you have at least two of the following: chills, repeated shaking with chills, muscle pain, headache, sore throat, new loss of taste or smell or diarrhea? *

Yes

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