Rehearsal Check-In Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This is the COVID-19 screening form for the date listed above. Please only fill this form out on the day of rehearsal. Thank you.

Name *

Who is currently completing this form?

The singer or Parent/Guardian of the singer

A VOV staff member

Clear selection

Have you experienced any of the following in the last 24 hours? If you have, please attend rehearsal virtually. *

Fever

Cough

Shortness of Breath

Chills

Muscle Pain

Sore Throat

New Loss of Taste or Smell

Gastrointestinal Symptoms: Nausea/Vomiting/Diarrhea

Congestion or runny nose

Headache

I have not experienced any of the symptoms listed above

Required

Have you been exposed to someone who has tested positive for COVID-19 in the last 14 days? *

Yes

Has your school or a medical professional requested that you quarantine due to exposure to COVID-19? *

Yes

Have you been diagnosed with COVID-19 within the last 14 days? *

Yes

If you answered YES to any of the above, you CANNOT attend the in-person rehearsal. The rehearsal will be available using our Zoom link. Thank you for helping us keep VOV safe.

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

Forms