CPFH Athlete COVID Practice Absence

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Please fill this form out if you have tested positive for COVID, were in close contact with a person who has tested positive for COVID or have developed symptoms related to COVID and must miss CPFH practice

Athlete Name *

Best Email Contact *

CPFH team and age group *

CPFH Practice Dates and Times that you will miss *

Have you tested positive for COVID? *

Yes

Have not been testing but have symptoms of COVID

Have not been tested, do not have symptoms but was possibly exposed to COVID

If you answered "yes" to testing positive, what date did you get tested?

YYYY

If you were considered exposed to someone who tested positive for COVID, did you receive a negative COVID test result?

If you were considered exposed to someone who tested positive for COVID, what was the date of your possible exposure?

YYYY

If you were tested for COVID and received a negative result, what date was the test taken?

YYYY

Last Date you attended a CPFH event before getting sick *

YYYY

Based on state quarantine guidelines, when are you permitted to return to school and/or group activities?

YYYY

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