Dreadnaught Marching Band COVID Screening Form

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Dreadnaught Marching Band COVID Screening Form

All students MUST submit this form. If all answers to health questions are "NO", you may depart with the band for camp.

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* Indicates required question

Name (Last Name, First Name) *

Your answer

FEVER: is your temperature higher than 100.3? (Your temperature will also be taken before rehearsal to verify) *

Yes

No

Do you have a SORE THROAT? *

Yes

No

Do you have a COUGH? *

Yes

No

Do you have SHORTNESS OF BREATH? *

Yes

No

Have you been in contact with anyone diagnosed with COVID in the last 14 days? *

Yes

No

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