BHS Band/Color Guard - COVID-19 Screening Questions
Please complete this form before seeing a parent volunteer to get temperature screened for participation in marching band rehearsal.

THIS FORM MUST BE COMPLETED EACH DAY FOR EACH REHEARSAL. Students that do not complete the form will be located at the beginning of rehearsal and will be required to finish screening before returning to rehearsal.
First Name *
Last Name *
Section *
Have you had an unexplained cough in the last 24 hours? *
Are you experiencing shortness of breath or having unexplained difficulty breathing? *
Have you had close contact with anyone that has recently been diagnosed with COVID-19? *
Have you traveled within the last two weeks out-of-state to a location designated a COVID-19 hotspot? *
Please check any of the following symptoms that you are currently experiencing.
Current Temperature (will be given by parent volunteer) *
Submit
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