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2021 COVID-19 Pre-Screen Wellness Check Form Boys 4
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* Indicates required question
Email
*
Your email
Player Name
*
Your answer
Cough?
*
Yes
No
Required
Fever?
*
Yes
No
Required
Sore throat?
*
Yes
No
Required
Shortness of Breath?
*
Yes
No
Required
Close Contact w/COVID positive?
*
Yes
No
Required
Temperature higher than 100.3?
*
Yes
No
Required
Date
*
MM
/
DD
/
YYYY
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