CDH COVID-19 Daily Athletic Check-In
You must complete this Screening Questionnaire in order to enter the facility.
Reason for visiting campus (check all that apply):
Boys Cross Country
Girls Cross Country
Since the last time you were at Cretin-Derham Hall, have you experienced any of the following new symptoms: Cough, Shortness of Breath, or Difficulty Breathing, that are not related to a preexisting condition?
Since the last time you were at Cretin-Derham Hall, have you experienced two or more of the following symptoms: Fever, Chills, Repeated Shaking with Chills, Muscle Pain, Headache, Sore Throat, New Loss of Taste or Smell?
I have had person-to-person contact with someone who has exhibited COVID-19 symptoms in the last 7 days.
If you answer YES to any of these questions, you are not permitted to enter or remain on the Cretin-Derham Hall Campus. Please inform your coach immediately and do NOT report to campus until you are contacted by Athletic Trainer BJ Jaquette.
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This form was created inside of Cretin-Derham Hall.