Monroe High School Daily Covid-19 Screening Form
Coaches and players need to sign in daily to complete the required Covid-19 Screening.
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Today's Date *
Student's First Name *
Student's Last Name *
Name of person completing this form. *
Parent/Guardian Phone Number *
Student's Daily Temperature *
Does your student have a fever greater than or equal to 100 degrees or fever symptoms of chills alternating with sweating? *
Has your student traveled outside Alaska within the past 14 days? *
Have you or someone in your household, had close unprotected contact with a known COVID-19 patient (spent more than 10 minutes within 6 feet of someone who was sick with a fever and cough)? *
Does your student have any of the following symptoms? *
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