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Symptom Screening Form
League Players: If you are experiencing any form of symptom of COVID-19, do not attend.
If your symptom screening form is not submitted by 5:00 PM on the evening of your league match, you will not be allowed to participate in that league night.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Who is your captain?
*
Choose
Twerk/Marge
Ten/Mike Miller
Beas/Hannan
Fox/Kelly
JR
Drew
Paul
Collin
Are you experiencing any of the following symptoms?
None
Fever/Subjective Fever
Chills
Muscle Aches/Pains
Sore Throat
Loss of Taste or Smell
Headache
Fatigue
Coughing/Wheezing
Shortness of Breath/Difficulty Breathing
Chest or Abdominal Pain or Pressure
Nausea, Vomiting, or Dhiarrhea
Other:
Attestation
*
I attest that I have answered these questions truthfully to promote the safety of the league.
Required
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