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Reporting a Positive COVID-19 Test
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* Indicates required question
Your Name
*
Your answer
Email Address
*
Your answer
Contact Phone
*
Your answer
Club Affiliation
*
Your answer
Club Role
*
President
Registrar/Administrator
Other Board Member
Director of Coaching
Coach
Required
I have been authorized to submit this report on behalf of my club
*
Yes
No
Date positive test was confirmed for this person
*
MM
/
DD
/
YYYY
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