SATURDAY COVID-19 Coach/Athlete Symptom Checklist

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form needs to be filled out by 10AM SATURDAY May 8.

School/Team *

Name of Person Filling Out Form *

Phone Number of Person Filling Out Form *

I have surveyed all athletes for symptoms, and can verify that no athlete has: fever, cough, sore throat, shortness of breath, or loss of taste/smell. *

Yes, my athletes do not have any symptoms

1 or more athletes has symptoms (contact Lisa Osborne ASAP)

No athletes have been in close contact with individuals known to have COVID-19 *

Yes, my athletes have not been in close contact with COVID-19 positive people

1 or more athletes have been in close contact (contact Lisa Osborne ASAP)

I have reviewed all coaches for symptoms, and can verify that no coach has: fever, cough, sore throat, shortness of breath, or loss of taste/smell *

Yes, our coaches do not have those symptoms

1 or more coaches have symptoms (contact Lisa Osborne ASAP)

No coaches have been in close contact with individuals known to have COVID-19 *

Yes, our coaches have not been in close contact with COVID-19 positive people

1 or more coaches have been in close contact (contact Lisa Osborne ASAP)

I affirm that every athlete and coach on my team reported this information and that it is correct. *

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms