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Admiral Band COVID-19 Health Check-In
Any staff, student, or volunteer who answers yes to any of the following questions should remain/return home without encountering other members of the staff or band program.
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* Indicates required question
Name (Last, First)
*
Your answer
Have you been in close contact with a confirmed case of COVID 19 in the past 14 days?
*
Yes
No
Are you experiencing a cough, shortness of breath, or sore throat?
*
Yes
No
Have you had a fever in the last 48 hours?
*
Yes
No
Have you had loss of taste or smell?
*
Yes
No
Have you had vomiting or diarrhea in the last 24 hours?
*
Yes
No
If any of the aforementioned symptoms change, I will inform the Admiral Band Director(s) by email within 12 hours of participation.
*
Yes
No
By typing my First and Last name, I affirm that the aforementioned information is accurate and current
*
Your answer
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