SME Band COVID-19 Self-Assessment
Please answer these questions before entering. If you answer YES to any of these, please do not enter the facility. For the 5/10 concert, one submission per family is acceptable.
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Email *
First Name *
Last Name *
Do you have any symptoms of Covid? (Temp above 100, cough, new loss of taste/smell, runny nose, cough, headache, fatigue, runny nose, congestion, shortness of breath or difficulty breathing, sore throat, muscle/body aches, nausea, vomiting, or diarrhea) * *
In the past 14 days, have you been within 6 feet of someone for 10 minutes or greater who was diagnosed with COVID-19? *
In the past 14 days, have you had contact with the mucous/saliva of someone who has been diagnosed with COVID-19? *
Is your student, a household member, or someone your student has been exposed to waiting on results from a COVID test? *
Have you traveled to a location requiring quarantine? If the answer is YES, quarantine (stay home) for 14 days and monitor for symptoms. *
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