Spring Activities: Daily Sign-In Sheet

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

Students & coaches need to sign in on a daily basis for out of season activities.

School *

First Name *

Last Name *

Phone Number *

Activity you are conditioning for. *

Student's Daily Temperature *

Do you have a fever greater than or equal to 100 degrees or fever symptoms of chills alternating with sweating? *

Yes (must stay home until fever free without fever reducing medications for 3 days)

No (continue to the next question)

Required

Have you traveled outside Alaska for longer than 72 hours and have taken a COVID test, pending results? *

Yes - you must return home and follow strict social distancing until test results are received.

Required

Have you, or someone in your household, had close, unprotected contact with a suspected or known COVID-19 patient (spent longer than 10 minutes within 6 feet of someone who was sick with a fever and cough)? *

Yes (must quarantine for 10 days without symptoms before returning)

No (continue to the next question)

Required

Do you have any of the following symptoms? *

Cough

Trouble breathing, shortness of breath, wheezing

Chills

Muscle Aches

Sore Throat

Headache

Loss of smell and/or taste

None (you may participate if no symptoms)

Required

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Fairbanks North Star Borough School District. Report Abuse

Forms