Junior Spartan Boys Basketball 2020-2021 Health Questionnaire

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Please complete the following questionnaire and submit the document prior to the beginning of each tryout session. Completion of this form prior to each tryout session is needed to ensure the safety of all campers. Each form must be completed by a parent or guardian prior to participation.

Email *

Player first name *

Player last name *

Grade

My child has NOT had a fever within the past 72 hours (without the use of fever-reducing medications). *

True

False

My child has NOT had a cough for the past 48 hours. *

True

False

My child has NOT been exposed to individuals that have been diagnosed with Covid-19 in the past 14 days. *

True

False

If your child has had a fever, cough, or has been exposed to someone with covid-19, per the questions listed above, please refrain from attending tryout sessions.

Parent/Guardian name (first and last name) *

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