Titan Cheer Pre-Screening Form
Weekly Pre-Screening Form must be completed before attending practice. The form may be completed as early as the morning of practice/game, right up to just before practice/game begins. Do not fill out the form the day before.

**Please note that a separate Participation Consent Form must be completed for EACH individual participating (if you have two children participating, then you will need to fill this Form out twice, etc.)**

Before visiting practice please ensure your cheerleader is in good health. PLEASE CHECK YOUR CHILD’S TEMPERATURE before you leave home - if they have a temperature at 100.4 or higher, please do not attend practice that day (notify your coach). Cheerleaders should not visit practice if they have a fever, cough, sore throat, or other symptoms consistent with COVID-19.
Email address *
Cheerleader Name *
Do you have any of the following symptoms? Sore throat, cough, chills, body aches for unknown reasons, shortness of breath for unknown reasons, loss of smell, loss of taste, fever at or greater than 100.4 degrees Fahrenheit? *
Have you or anyone in your household been tested for COVID-19 in the past 14 days? *
Do you have any reason to believe you or anyone in your household has been exposed to or acquired COVID-19? *
To the best of your knowledge have you been in close proximity to any individual who tested positive for COVID-19? *
A copy of your responses will be emailed to the address you provided.
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