Athletics Pre-screen for JUNIOR HIGH BOYS
This form is to be done every day before the screening process at athletics
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Your Name? (Student-athlete attending athletics)
What sport are you currently in?
Name and Phone Number of your Guardian?
Have you recently traveled outside of the County of Gregg to an area with known local spread of COVID-19?
Have you come into close contact (within 6 feet) with someone who has a laboratory-confirmed COVID-19 diagnosis in the past 14 days?
If you answered yes to the previous question, does the person that tested positive live in your household?
What date did they become infected?
Do you have a fever (greater than 100.4*F), Diarrhea, OR symptoms of lower respiratory illness such as cough, shortness of breath, difficulty breathing, or sore throat?
If you have an injury/illness that you would like to let the athletic training staff or coaches know, please answer here AND let your coach know in person.
Send me a copy of my responses.
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This form was created inside of Pine Tree ISD.