COVID-19 Protocol Checklist
For all Girl Scouts of Eastern Missouri meetings and activities. All COVID-19-related documentation, such as
this checklist, should be securely retained for a minimum of 90 days after the Girl Scout activity for which they
were completed.
All Girl Scouts of Eastern Missouri (GSEM) volunteers, parents/caregivers and staff should read and understand
the most recent guidance provided by GSEM and the Centers for Disease Control and Prevention (CDC) regarding
COVID-19. Please use this checklist and other resources provided by GSEM and the CDC to ensure all reasonable
precautions are being taken and limit potential exposure.
_____ 1. No participant, whether child or adult, should be permitted to attend any Girl Scout meeting or
activity if any of the following are true:
The participant has had a fever of 100.4˚F or greater within the last 24 hours (the 24 hours with no
fever should be without the use of fever-reducing medications)
The participant has had any one or a combination of other symptoms of COVID-19 within the last 72
hours. Possible symptoms include cough, shortness of breath or difculty breathing, chills, fatigue,
muscle aches or pain, headache, new loss of taste or smell, sore throat, congestion or runny nose,
nausea or vomiting, diarrhea
The participant previously tested positive for COVID-19 but (if ANY of the below apply, the individual
may not participate):
o (if the participant had symptoms) it has not yet been 10 days since symptoms rst appeared
o (if the participant did not have symptoms) it has not yet been 10 days since the participant
received their most recent positive test result
o the participant has had a fever within the last 24 hours, as detailed above
o any other symptoms have not improved (with the exception of loss of taste or smell, which
may persist for weeks or months after recovery)
o the participants healthcare provider recommended testing to determine if the participant can
resume being around others but test results are still pending
During the past 10 days, the participant has been advised to self-isolate or quarantine by a doctor or
health authority
During the past 10 days, the participant has been in contact* with a person who has tested positive
for or is suspected to have had COVID-19 in the previous 10 days**
The GSEM COVID-19 Participant Screening Tool and COVID-19 Participant Screening Log should
be completed to determine if any participant poses a threat to the health of the group. The COVID-19
Participant Temperature Log can be used to track participants’ temperatures at arrival and then daily, if
being done for the meeting, activity or event.
*Healthcare personnel (HCP) who had contact with a person who has tested positive for or exhibited symptoms of COVID-19 but who are able to continue working
and were following protocols (including wearing a respirator or facemask, eye protection, and all recommended PPE) may attend Girl Scout meetings and activities
as long as they meet all other participation parameters. Please refer to this link for the CDC’s denition of HCP.
Updated 5.7.2021
One volunteer or staff member should be assigned to ask and document screening responses of all
participants upon arrival. This record must be kept condentially with health forms and permission
slips. This volunteer should also serve as the point of notication for any post-meeting incident of
a communicable disease. Upon notice, this volunteer must contact GSEMs Senior Manager of Risk
Management, Jen Robertson ( to receive explicit guidance.
_____ 2. A Girl Health History & Annual Permission Form (F-57) with 7/2020 COVID-19 Addendum for
the 2021 membership year should be completed for all girl participants and on le with the leader, lead
volunteer and/or staff member.
_____ 3. The meeting or activity should have no more than 20 individuals if indoors and 30 individuals
if outdoors. This includes girls, leaders, volunteers needed to meet proper girl-to-adult ratio, parents/
caregivers, staff, etc.
_____ 4. Masks are required at all Girl Scout properties, including camps and the service center, when
indoors, and when outdoors when social distancing cannot be maintained, for any participant age 2 and
older. Guidance on mask-wearing when not at Girl Scout properties must follow the strictest of: the facility
where the event is being held, the local school district protocol or the local county guidance.
_____ 5. Social distancing should be practiced whenever possible. Put six feet of distance between yourself
and people who do not live in your household in both indoor and outdoor spaces.
_____ 6. For all meetings and activities, the space should be cleaned, and touch surfaces (i.e., tabletops,
light switches, chairs, etc.) and frequently touched objects should be routinely disinfected.
_____ 7. Meetings should ideally be held virtually, outdoors (weather permitting) or at places local to the
community such as parks, churches, community centers or libraries. Meetings in the home are permitted
when other options are unavailable, but only when GSEM COVID-19 Response Guidelines are followed (such
as wearing masks when indoors, keeping a social distance of at least six feet and following Hygiene and Risk
Mitigation guidance) and all criteria as listed under “Troop Meetings in the Home” on pages 7-8 are met.
_____ 8. For meetings and activities held at public facilities, the troop leader/lead volunteer/staff member
in charge of the meeting or activity should contact the facility ahead of time to ask:
Is the facility following GSEM and its local jurisdictions guidelines?
Is the space cleaned, and touch surfaces sanitized, at least daily?
Who else uses the space, how often, what size is the group, and is the space cleaned between
What types of ushers/faucets/soap dispensers are available in the restrooms: automatic/sensory or
If activity or sporting equipment is being provided, are they wiped down between uses?
Please note: meetings may not be held in tness centers or gyms because the atmosphere in sports
facilities is aerosolizing, making them a higher risk for contracting viruses.
COVID-19 Protocol Checklist, Continued
_____ 9. Share the following preventative measures with all participants and ensure they are practiced
during meetings and activities. Place signs in the meeting or activity space to remind participants to engage
in everyday preventative actions to help prevent the spread of COVID-19. Signs should include:
Stay home if you are sick
Cough/sneeze into a tissue, throw the tissue in the trash and wash/sanitize your hands
Wash your hands often with soap and water for at least 20 seconds, especially after going to the
bathroom; before eating; and after blowing your nose, coughing or sneezing. If soap and water are
not available, use a hand sanitizer that contains at least 60% alcohol
Avoid touching your eyes, nose and mouth. Wash your hands if you do touch
All participants should take their temperatures prior to group interaction to conrm their
temperatures are less than 100.4˚F
_____ 10. If providing a beverage, snack or meal, follow the “Food, Dining and Snacks” guidance in the Troop
Meeting and Volunteer-Led Activity chapter of this document.
_____ 11. Troop rst aid supplies should include COVID-19 prevention items including hand sanitizer (at
least 60 percent alcohol), tissues, disposable facemasks and disinfectants. Trash baskets or bags should be
supplied for meeting and activity spaces, if not already available. Disposable or no-contact thermometers
may be added to supplies if available and not cost-prohibitive.
COVID-19 Protocol Checklist, Continued