FYL Daily Health Screen
Please complete the following prior to attending any FYL hosted activities.

Players will NOT be eligible to participate unless this is completed. Please complete a form for each player you have participating.
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Participant First Name *
Participant Last Name *
Parent Email *
What group is your child in? *
Within the past 14 days, has the participant: *
Yes
No
Tested positive for COVID-19?
Been in close contact of someone who has tested positive or shown symptoms of COVID-19?
In the past 48 hours, has the participant experienced any of the following symptoms: *
Yes
No
Fever
Cough
Shortness of breath
Loss of taste or smell
Chills
Muscle pain
Sore throat
Headache
Congestion or runny nose
Nausea
Diarrhea
Has the participant spent 24 hours or more in any of the states listed on New York State's Travel Advisory list. (https://coronavirus.health.ny.gov/covid-19-travel-advisory) *
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