Athletics Pre-screen for HIGH SCHOOL BOYS
This form is to be done every day before the screening process at athletics
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Email *
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? *
1 point
Have you come into close contact (within 6 feet) with someone who has a laboratory-confirmed COVID-19 diagnosis in the past 14 days? *
1 point
If you answered yes to the previous question, does the person that tested positive live in your household?
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What date did they become infected?
MM
/
DD
/
YYYY
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? *
1 point
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.
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