Clear Lake Intermediate Athletics COVID-19 Check-In

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*If you have traveled outside the state of Texas in the past 14 days, please adhere to the Texas Department of Health Services travel advisories and quarantine instructions listed on the COVID-19 web page of its website under Information of Travelers.

IF A VISITOR ANSWERS YES TO ANY OF THE FOLLOWING QUESTIONS, YOU MAY NOT ENTER A CCISD FACILITY AND ARE ENCOURAGED TO CONTACT YOUR PHYSICIAN.

THANK YOU FOR DOING YOUR PART TO KEEP CCISD SAFE.

First Name *

Last Name *

Class or Sport *

7th Grade Girls Athletics

7th Grade Boys Athletics

8th Grade Girls Athletics

8th Grade Boys Athletics

Girls Before or After School Clear Connections

Boys Before or After School Clear Connections

Within the past 10 days, have you tested positive for COVID-19 or suspect you have COVID-19? *

Yes

Within the last 14 days have you had close contact with someone who tested positive for/or is suspected to have COVID-19? *

Yes

Have you or anyone in your home recently experienced any of the following NEW symptoms, not associated with pre-existing or chronic medical condition? Fever (temp of 100 degrees or higher) or feverish? Cough? Shortness of Breath? Muscle pain (not associated with exercise)? Sore throat? Diarrhea? Chills? Headaches? Loss of taste and/or smell? *

Yes

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