COVID-19 Screening Questions
Please fill out this form before practices and games for athletic participation on school grounds.

If you answer YES to any of the questions/symptoms, PLEASE TELL YOUR COACH WHEN YOU GET TO TRAINING OR DON'T REPORT TO TRAINING AND NOTIFY COACH FOR FURTHER INSTRUCTIONS. YOU ARE NOT TO PARTICIPATE IF YOU ARE SYMPTOMATIC.
Sign in to Google to save your progress. Learn more
Name (Last, First) *
Sport *
Have you had an unexplained cough in the last 24 hours? *
Are you short of breath or having unexplained difficulty breathing? *
Have you had close contact with anyone with COVID19 or been to a "hot spot" for COVID19? *
Are you experiencing any symptoms related to COVID19? *
Required
Have you had a fever (>100.4) in the last 24 hours? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Beavercreek City Schools. Report Abuse
Google Forms