DCWST Training Pre-Screening Form
This form must be completed DAILY by every athlete (or when appropriate, by the parent of parent of the athlete) who is participating in any DCWST training session. This form must be submitted on the SAME DAY as the training session you are attending, and must be done prior to your arrival at practice. While not required, the DCWST reserves the right to take your temperature even if you have submitted this form. Thanks for your cooperation.
First Name *
Last Name *
Group *
1. Have you had a fever (feeling of such or a measured temperature of 100 degrees or more) in the past 7 days? (Note: The DCWST reserves the right to confirm your temperature prior to the start of any training session.) *
2. Have you had any of the following new or worsening symptoms in the past 7 days - chills, cough, shortness of breath, sore throat, vomiting, diarrhea, loss of taste or smell, or other flu-like symptoms? *
3. Do you feel ill now? *
4. Have you been diagnosed with COVID-19 in the past 14 days or the flu (influenza) in the past 5 days? *
5. In the past 14 days, have you had physical contact with or been in close proximity (within 6 feet for more than 15 minutes over a span of 24 hours) to someone with suspected or confirmed COVID-19? *
6. Are you in violation of any current local or state mandates or restrictions (related to COVID-19) by attending the training session today? *
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