COVID-19 Symptom Sheet- baseball
Student-athlete, please fill out the following form prior to sport with parent/guardian. If you have answered yes to any questions, please stay home and follow-up with a physician. If a student-athlete's temperature is above 100.0 he or she is to stay home OR answers YES to any of the questions.
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Student-athlete name *
Student-athlete birthday *
ДД
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ММ
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ГГГГ
Grade for 2020-2021 School year *
Temperature (in degrees Fahrenheit) *
Do you have a fever? *
Do you have  chills? *
Do you have a loss of sense of smell or taste? *
Do you have a cough? *
Do you have a sore throat? *
Do you have shortness of breath? *
Have you been in close contact or cared for someone with COVID-19? *
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Форма создана в домене Pickerington Local School District. Сообщение о нарушении