Deering H.S./PPS: Co-Curricular COVID-19 Daily Screening (Students & Staff)
Please complete this screening tool EVERY DAY before any team practice, workout, competition or (in-person) co-curricular activity/event. If you answer YES to any of the questions below with the exception of the last one, PLEASE STAY HOME and contact your high school, your coach, athletic trainer, school nurse or your PPS Co-Curricular/Athletic Director.
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Email *
PPS High School (that you attend or coach for): *
Name: *
PPS Student ID Number (if none - DOB): *
Today's Date: *
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What Sport/Activity are you Participating in/Coaching Today? *
Do you have any of the following symptoms? Fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, or new gastrointestinal symptoms? *
Do you have a sick family member at home with any of the above symptoms? * *
In the past 14 days have you had contact with a person known to be infected with the novel coronavirus (COVID-19) * *
Have you traveled out of the state of Maine in the last 14 days (*per Governor's order - the only exempted local states for travel are NH & VT) *
Required
IF YOU ANSWERED "YES" TO ANY OF THE ABOVE HEALTH SCREENING QUESTIONS, PLEASE STAY HOME AND DO NOT ATTEND TODAY'S IN-PERSON H.S. ATHLETIC PRACTICE, EVENT, MEET, GAME OR CO-CURRICULAR ACTIVITY AND CONTACT YOUR SCHOOL & SCHOOL NURSE ASAP! (*TRAVEL ONLY TO EXEMPTED STATES IS PERMITTED-NH & VT)
Are you planning on attending today's event? *
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