GBHS Coach Fall 2020 Health Screening Form
In order to participate in preseason workouts for GBHS Athletics, athletes and coaches must fill out this form each day they attend a training session and submit it BEFORE 2:15 PM. If you have not submitted the form you will not be allowed on campus to train for that day and will be sent home.

You will automatically receive a response receipt email for this form each day that you submit. Please be prepared to so proof of completion to a coach of Athletic Administrator upon request on your phone or another device when attending workouts.

Please note that a YES answer to any of the screening questions means that the athlete or coach should not attend the training sessions and should contact Athletic Director Tim Healy at thealy@rjuhsd.us immediately.

If you have questions please contact Athletic Director Tim Healy at the email above.

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Email *
Date of the Workout Session You are Attending *
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DD
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First Name *
Last Name *
Sport Attending Today *
What is your pod number? *
Within the last 14 days have you been diagnosed with COVID-19 by a medical professional or had a test confirming you have the virus? *
In the last 3 days, have you had or developed one or more of these symptoms: fever of 100 or greater, fatigue, body aches, chills, night sweats, cough, congestion, runny nose, shortness of breath, sore throat, headache, nausea or vomiting, diarrhea, new loss of taste or smell? *
Have you been in close contact in the last 14 days (within six (6) feet for 15 or more minutes) with a confirmed positive COVID-19 person or family member? *
A copy of your responses will be emailed to the address you provided.
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