NJSIAA COVID-19 DAILY PRE-SCREENING QUESTIONS
To participate in workouts during the summer recess period, each student must complete this form daily before every workout. This form must be completed prior to arriving on school grounds.
CHECK IN TEAM
Are you experiencing any of the following Symptoms
Fever (100.4 or greater)
Cough or shortness of breath
Muscle Aches or rigors
New Loss of smell or taste
Abdominal pain, nausea, vomiting or diarrhea
none of the above
Have you had close contact with someone who is currently sick
Have you been diagnosed with COVID-19 in the past 3 weeks or have reason to believe you have COVID-19
Have you traveled or had close contact with anyone who has traveled to a NJ listed quarantine state in the last 14 days?
If you took your temperature this morning, what was the reading? You additionally will receive a temperature check when arriving at the field.
Send me a copy of my responses.
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This form was created inside of Hasbrouck Heights School District.