Your email address (This will be used to reach you in the case contact tracing is needed) *
Your answer
Your phone number *
Your answer
Your student's name *
Your answer
Sport attending *
Health Screening Questions
Please note: If you answer "yes" to any of the following questions, please do not come to campus.
Have you been feeling feverish or do you have a temperature greater than 100.0? *
Are you experiencing any COVID-19 symptoms: cough, shortness of breath, difficulty breathing, new loss of smell or taste, chills, shaking chills, muscle aches, sore throat, fatigue, nausea or vomiting, diarrhea, congestion or runny nose? *
Within the past week, are you awaiting the results of a COVID-19 test, have you been diagnosed with COVID-19 or instructed by any health care provider or the health department to isolate or quarantine? *
In the past 14 days, have you had close contact (within 6 feet for a cumulative amount of time equaling 15 minutes or more within 24 hours) with anyone diagnosed with COVID-19 or reporting symptoms of COVID-like illness? *
Have you traveled to a state with a positivity rate above 10%, a case rate more than 20/100,000 OR used public transportation, regardless of the state's positivity/case rate and are awaiting for the results of a COVID-19 test? *
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