Bishop Shanahan Athletics Pre Participation Screenings - Titus
Reminders from Athletics Health & Safety Plan re: Screening Procedures:

● Any athletes, coaches, or staff members who believe they may be sick should remain at home.
● A screening survey should be completed no sooner than two hours prior to workout. An athlete or coach may not remain on campus if the screening survey is not completed.
● Athletes should complete screening in consultation with parents.
● In addition to the screening, every student must have a participant release and waiver form on file in the athletic directors office before participating.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Grade of student athlete as of Fall 2020 *
In the past 24 hours have you had a fever of 99.5 or higher ?* *
Do you have a new onset of cough or shortness of breath? *
Have you had a fever or felt chills? *
Have you had a known exposure to a CoVID-19 positive individual? *
Have you experienced loss of taste or smell? *
Do you have a headache? *
Have you had any general muscle soreness or fatigue? *
Have you had a sore throat? *
 Have you traveled outside Pennsylvania in the last 14 days? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bishop Shanahan High School. Report Abuse
Google Forms