ATHLETICS Visitors COVID-19 Daily Screening Form
This questionnaire must be completed daily by all staff and visitors once per day before or immediately after entering any building in the Newfane Central School District. Please note that you are required to disclose any changes to your answers immediately to your supervisor.
First Name *
Last Name *
Which NCSD buildings will you be entering today? *
Please check all that apply. *
* A listing of COVID-19 symptoms can be accessed at the link below to the Centers for Disease Control and Prevention website. For purposes of the third statement below, having been in close contact means having been within six feet of the person for at least ten minutes, starting from 48 hours before the infected person had symptoms.LINK TO SYMPTOMS ** A list of restricted states can be accessed at the link below. Information regarding restrictions on or quarantining after international travel can be accessed at the links below. RESTRICTED STATES: TRAVEL:
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