Husky Fall 2020 Health Self Report

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Please fill this out every day before practice or tryout

Your Name *

Your Grade *

6th or younger

7th

8th

9th

10th

11th

12th

Option 8

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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