Check In/Screening: Troop 444 / 444G Meetings/Events
Please complete this form before attending all Troop 444 / 444G meetings. A scout is trustworthy. Your honesty in answering these questions helps us continue to meet together with caution. A mask is required, even when outdoors, except when eating or alone in a tent. Submit one form per person in the family.
Full Name (Submit a seperate form per person) *
Today's Date *
MM
/
DD
/
YYYY
Parent Contact phone # or email address: *
Screening Question 1: Have you been in prolonged, close contact with a person who has tested positive for Covid-19 or is suspected of having Covid-19 in the last 14 days? *
Screening Question 2: Are you currently waiting for Covid-19 test results? *
Screening Question 3: In the past 24 hours, have you had new or worsening symptoms related to Covid-19? *
Please allow us to verify your temperature. Is your reading 100 degrees or higher? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy