Husky Fall 2020 Health Self Report

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Please fill this out every day (after 2pm) before practice or tryout

Your Name *

If it's before 2pm on a weekday, please come back later and fill this out after 2p

Only fill this out if you have a tryout today

Your Grade *

8th

9th

10th

11th

12th

Do You Have Any of the Following? (if so, notify a Husky staff member before entering) *

Fever, Shortness of breath or difficulty breathing, Cough, Chills, Headache, Sore Throat, recent loss of taste or smell?

In the past 14 days have you been in any state on the CT travel restriction list. https://portal.ct.gov/Coronavirus/travel

In the past 14 days have you been exposed to anyone that has been diagnosed with COVID-19?

None of the above, Feel good and haven't been in those states in the last 14 days

Required

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