Although recommendations are no longer based on transmission activity, in the Modifying Variables section of the guidance, items for consideration are listed regarding extracurricular activities. Having these activities further increases the risk of COVID-19 into school buildings. Schools have made decisions to continue these activities, in many cases. The perceptions and requests of communities must be taken into consideration. High-risk activities that involve excessive exhalation, close physical contact, a lack of masks and lack of sufficient ventilation must be factored into decisions at the school and district level.