FOOTBALL Covid-19 Daily Screening Form
To participate in workouts during the Fall season, each student must complete this form at home before each team workout.
Student LAST Name *
Student FIRST Name *
Parent/Guardian Cell Number *
Temperature in degrees Fahrenheit (Taken at home) *
Are you experiencing any of the following symptoms? Check all that apply. *
Have you been diagnosed with COVID-19 in the past three weeks or have reason to believe you have COVID-19? *
Have you traveled or had close contact with anyone who has traveled internationally in the last 14 days? *
Have you traveled or had close contact with anyone who has traveled to a quarantine list state in the last 14 days? (https://covid19.nj.gov/faqs/nj-information/general-public/which-states-are-on-the-travel-advisory-list-are-there-travel-restrictions-to-or-from-new-jersey) *
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