BHS Band/Color Guard - COVID-19 Screening Questions

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Please complete this form before seeing a parent volunteer to get temperature screened for participation in marching band rehearsal.

THIS FORM MUST BE COMPLETED EACH DAY FOR EACH REHEARSAL. Students that do not complete the form will be located at the beginning of rehearsal and will be required to finish screening before returning to rehearsal.

First Name *

Last Name *

Section *

Flute

Clarinet

Alto Sax

Tenor Sax

Bari Sax

Trumpet

Mellophone

Trombone

Baritone

Sousaphone

Color Guard

Battery

Front Ensemble

Drum Major

Have you had an unexplained cough in the last 24 hours? *

Yes

Are you experiencing shortness of breath or having unexplained difficulty breathing? *

Yes

Have you had close contact with anyone that has recently been diagnosed with COVID-19? *

Yes

Have you traveled within the last two weeks out-of-state to a location designated a COVID-19 hotspot? *

Yes

Please check any of the following symptoms that you are currently experiencing.

Chills

Fever

Sore Throat

Loss of Taste

Loss of Smell

Current Temperature (will be given by parent volunteer) *

Submit

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