PHS Athletics Log
Please fill in the fields below. Forms should be submitted ONLY after you have answered the pre-screening questions and have had your temperature taken at the respective athletic facility by an PHS Representative. Anyone with a temperature greater than 100°F and/or responds yes to any of the Pre-Screening Questions, will not be permitted to attend the activity for the day. Notice should be sent immediately to Athletic Director Jamie Skrapits

Pre-Screening Questions - Have you:
(a) knowingly been in close or proximate contact in the past 14 days with anyone who has
tested positive for COVID-19 or who has or had symptoms of COVID-19 in the past 14 days;
(b) tested positive for COVID-19 in the past 14 days; and/or
(c) has experienced any symptoms of COVID-19 in the past 14 days.
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Email *
03/14/21   Today's Date - PLEASE follow the format: 2 digit month/2 digit day * *
MM
/
DD
/
YYYY
Last Name *
First Name *
Sport *
Type of Activity *
Opponent (Games only)
Place *
Role *
Grade *
Pre-Screening Questions. Please read the questions below carefully. Answering Yes to at least 1 will preclude you from participating in the day's session. *
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Thermometer reading BELOW 100°F (If "No" is selected, you are indicating your temperature is above 100°F and therefore are unable to participate today) * *
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