Boys Winter Track Daily COVID19 Screening for SDOC practice/game (Winter 2020-21)

Any of the symptoms below could indicate a COVID-19 infection and may put your child at risk for spreading illness to others. Please note that this list does not include all possible symptoms and individuals with COVID-19 may experience any, all, or none of these symptoms. Please check daily for these symptoms:

Sign in to Google to save your progress. Learn more
Please fill out this form,  the day of the practice or game before you arrive for the most accurate responses. Thank you for your cooperation.
First name *
Last name *
Grade
Clear selection
Group A *
Required
Group B *
Required
If TWO OR MORE of the fields in Group A are checked off OR AT LEAST ONE field in Group B is checked off, your child should stay home and not attend practice/game *
Section # 2: Close Contact/ Potential Exposure *
Required
You understand If ANY of the fields in Section 2 are checked off, your child should remain home for 14 days from the last date of exposure or date of return to New Jersey. Contact your local health department for further guidance. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of School District of the Chathams. Report Abuse