RHS Volleyball COVID Daily Form

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This form must be filled out daily before arriving on campus to be allowed to participate.

Email *

NOTIFICATION

Per Austin Health Authority rule 5.3.9.1. must provide each parent or guardian of a student who participates in sports or extracurricular activities with a written notice that: 5.3.9.1.1. explains these activities increase the risk of COVID-19 transmission to the student and the household; and 5.3.9.1.2. recommends each student practice physical distancing and wear face coverings while at home.

Last Name *

First Name *

Team *

Freshmen

Varsity

Today's 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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