Daily MB Student and Staff Screening Questions
Marching Band students and staff should use this form each day they have an on-campus rehearsal.  This form must be done prior to arrival to campus and must be done the day of the rehearsal.  

If you find you must answer YES to any of these questions, you are to stay home.  You will not be permitted to participate in practice today.  Call or Text Mr. Carter at 919-260-5386 to inform him.  

Thank You!

Andy Carter
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Student/Staff/Parent *
Today's Date *
Are you experiencing Racing, Fluttering, or Skipping Beats of  Heart *
Are you experiencing Unusual Dizziness During or After Exercise *
Are you experiencing Cough or shortness of breath *
Are you experiencing a Sore Throat *
Are you experiencing New loss of taste or smell *
Are you experiencing Diarrhea or Vomiting *
Do you have a Household Member with COVID-19 *
Have you knowingly been in Close Contact with someone  with COVID-19 recently *
Have you been running a Fever in excess of 100.4 recently? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms