This form is REQUIRED and must be submitted 3 hours prior to every rehearsal by ALL students and staff. This is in addition to the Daily Health Screening Required by AHS.
IF YOU FAIL THIS SCREENING ,YOU CAN NOT PARTICIPATE. STAY HOME and call Mr. Keech at 845-288-2675 IMMEDIATELY!
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You MUST be logged into your student Arlington google account to complete this form.
1. Has your child experienced any symptoms of COVID-19, including a temperature of greater than 100.0°F, 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 diarrhea in the past 10 days?
2. Has your child been designated a contact (typically defined by 6 feet or closer for at least 10 minutes) of a person who is known to have a laboratory-confirmed positive COVID-19 test?
3. Has your child tested positive through a diagnostic test for COVID-19 in the past 10 days or are you waiting for results from a COVID-19 test?
**4. Has your child traveled internationally in the past 10 days?
Mandatory quarantine remains in effect for international travelers. See
https://coronavirus.health.ny.gov/covid-19-travel-advisory for details.
** Asymptomatic travelers, including New York residents, entering New York from another U.S. state or territory are no longer required to test or quarantine. Quarantine is STILL RECOMMENDED for domestic travelers who are not fully vaccinated or have not recovered from laboratory confirmed COVID-19 during the previous 3 months. Symptomatic travelers must immediately self-isolate and contact the local health department or their healthcare providers to determine if they should seek COVID-19 testing.
All travelers entering New York from a state that is not a contiguous state who have been outside of New York for more than 24 hours must complete the Traveler Health Form (
https://coronavirus.health.ny.gov/covid-19-travel-advisory#traveler-health-form). Contiguous states to New York are Pennsylvania, New Jersey, Connecticut, Massachusetts and Vermont.
Your email address will be recorded when you submit this form.
