Attendance/Screening for Conditioning

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

Athlete or Coach *

Sport *

Last Name *

First Name *

School *

HPIAM

Libra

SSJ/ Athletics

Have you Submitted your COVID-19 Test Appointment Confirmation. *

Yes

Have you watched the return to sports video *

Yes

Have you submitted all additional forms? (waiver and compact letter) *

Yes

COVID-19 Symptom Screening: Have you experienced or been in contact with someone who has experienced any of the following symptoms in the last 2-14 days? *

Fever or chills

Cough

Sore Throat

Shortness of Breath

Close contact, or cared for someone with COVID-19

No, I have not experienced or been in contact with someone who has experienced any of the above symptoms in the last 2-14 days?

Required

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of LAUSD. Report Abuse

Forms