COVID-19 Pre-Screen Daily Symptom Questionnaire
This form is to be completed and submitted by each student prior to leaving home for campus on each rehearsal day. The form will begin accepting responses at 6:15am each rehearsal day. If you do not complete and submit this form at home, you will be required to do so at the Pre-Screen Check-in area prior to being permitting into the facility. Thank you
Email address *
First Name *
Last Name *
Your Student ID Number (xxxxxx) *
Your Marching Instrument *
Your Cell Phone Number (xxx-xxx-xxxx) *
Current Body Temperature *
Please select all of the symptoms below that you have experiences within the past 24 hours. *
Required
Have you been in close contact with anyone who has tested positive for COVID-19? *
A copy of your responses will be emailed to the address you provided.
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