MHS BANDS:  COVID-19 Student / Director Monitoring Form
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It is extremely important that you answer honestly.  Failure to do so MAY result in others becoming sick and cancellation of this and other rehearsals / performances for everyone.  
Students MUST complete this form BEFORE permission can be granted to exit their vehicle.  If "YES" is answered to any of these questions, student cannot stay for rehearsal and MUST immediately leave the school grounds.  
Student Name (First & Last) *
Emergency Contact *
Emergency Contact Phone Number *
Fever Today? *
Cough Today? *
Sore Throat Today? *
Shortness of Breath Today? *
Have you been in close contact with or cared for someone with COVID-19 within the last 5 days? *
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