EXTREME Tumble & Cheer Health Screening
Email *
Athlete First Name *
Athlete Last Name *
Symptoms: Do you have a cough? *
Symptoms: Do you have shortness of breath or difficulty breathing? *
Symptoms: Do you have or have you had feelings of fever or a measured temperature greater than or equal to 100.0 degrees Fahrenheit, or higher? *
Have you had known contact with a person who is lab-confirmed to have COVID-19 within the last 14 days? *
If you answered yes to any of the questions stated you can NOT attend classes at EXTREME today. Thank you for helping keep our students and staff safe!! (initial agreeing to abide by the guidelines.) *
A copy of your responses will be emailed to the address you provided.
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