Athlete / Coach COVID Entry Form
Student athletes and coaches MUST complete this form each time they are arriving to a school building or on school property for a practice or event (match, meet, game)
Student Athlete Full Name
Please check the sport that you are participating in when filling this form out.
Football(Modified, JV, Varsity)
Tennis - Boys
Tennis - Girls
Track & Field
Strength & Conditioning
Do you have a fever over 100°?
Since you were last here, have you had any of the following symptoms?
Please check all that apply
Shortness of breath
Loss of smell or taste
I’ve had no symptoms
Have you traveled outside New York State or USA within the last 14 days
If you have no traveled to a restricted state, please check the top box, if you have and the trip was LESS than 24 hours, you are not obligated to report the destination. If the trip was MORE than 24 hours, please list the destination under Other.
I HAVE NOT TRAVELED OUTSIDE OF NYS, THE USA OR A RESTRICTED STATE
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