COVID-19 Student-Athlete Daily Pre-Screening Questionnaire

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Each day all coaches, student-athletes, and staff must clear the pre-screening process before they are
permitted to participate in the workouts.

Any individual who answers “yes” to any question on the questionnaire, or who has a temperature greater
than 100.4°F, shall not be permitted to participate in the workout and shall be required to return home.

Any Individual who answers “yes” to any question on the questionnaire shall be required to provide clearance
from a physician before they will be permitted to resume participation in the workouts.

Email *

Student Athlete First Name: *

Student Athlete Last Name: *

Parent/Guardian Name and Cell Phone Number: *

Emergency Contact Name and Cell Phone Number: *

Sport: *

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