This form must be completed prior to participation, daily. If you have any questions, please contact the Athletic Training staff at (407) 206-1900 x.1218.
**Any student with a pre-existing condition please notify your coach to take extra precautions**
Full Legal Name
Have you been diagnosed with COVID-19?
Have you or a family member been exposed to COVID-19?
Have you experienced a fever within the last 48 hours?
Have you travelled to any "hot-spot" within Florida or travelled outside of the state within the last 14 days?
I do not have a temperature of greater than 100 degrees and have checked my temperature prior to participation at Lake Highland Preparatory School.
By checking this box, I affirm that the above statement is true.
Are you experiencing any of the following symptoms?
Shortness of breath or difficulty breathing
Runny nose or nasal congestion
GI symptoms (nausea, vomiting, or diarrhea)
Loss of sense of smell or taste
Not experiencing any of the above symptoms.
Send me a copy of my responses.
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This form was created inside of Lake Highland Preparatory School.