2020-21 Squirt B2-Royal - Quick Entry Check-In
This form follows the MDH guidelines for contact tracing and daily symptom tracking. This form is required to be completed for each Squirt B2-Royal player, coach, team manager & parent volunteer upon arriving at the rink for any WAHC event during the 2020-21 Season.

If you have had any symptoms listed below, answer YES below and please STAY HOME until you are symptom free and consider evaluation from a health care provider and/or COVID-19 test.

See Decision Tree on our COVID-19 page for more information https://www.woodburyhockey.com/page/show/5805633-covid-19-return-to-hockey
Acceder a Google para guardar el progreso. Más información
Date *
DD
/
MM
/
AAAA
Select Your Name (Coach, Player, Team Manager) *
If your name is not included in name list above, please provide Participant First Name
If not in name list above, please provide Participant Last Name
Have you had ANY of the following? Shortness of breath, a new cough, a new headache, a new sore throat, fatigue, congestion, new muscle aches/pain, new loss of taste/smell, a fever, other less common covid-19 symptoms like nausea, vomitting or diarrhea? *
Siguiente
Borrar formulario
Nunca envíes contraseñas a través de Formularios de Google.
El formulario se creó en Woodburyhockey.com. Denunciar abuso
Google Formularios