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COVID-19 Daily Questionnaire (CHEER)
To be completed prior to any participation in Rocket's activity
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* Indicates required question
Email
*
Your email
Full Name of Player
*
Your answer
Level
*
Varsity
JV
PeeWee
SuperPeeWee
Clinic
Pre-Clinic Green
Pre-Clinic Gold
Pom Poms
Required
In the past 24 hrs., has the participant had a cough?
*
Yes
No
In the past 24 hrs., has the participant had a fever of 100.4 F or higher?
*
Yes
No
In the past 24 hours, have you experienced vomiting, nausea, and/or diarrhea
*
Yes
No
In the last 14 days, has the participant been in close contact with someone with confirmed Covid-19?
*
Yes
No
Enter the name of the Parent/Guardian completing this form on behalf of the minor participant OR if an adult participant (such as coach), enter your own name. I certify these answers are true to the best of my ability.
*
Your answer
Send me a copy of my responses.
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