Troop 777 COVID-19 Screening Form

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

Troop 777 COVID-19 Screening Form

Answer these questions BEFORE attending any Troop meeting / gathering / campout

Sign in to Google to save your progress. Learn more

* Indicates required question

Email *

Your email

First Name *

Your answer

Last Name *

Your answer

Are you the Scout's Parent/Guardian *

Yes

No

N/A (I *am* the Parent/Guardian)

Have you or any family member living with you been out of the state in the last 14 days? *

Choose

Yes

No

Next

Page 1 of 9

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy