LSC: COVID-19 Self-Assessment Attestation

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LSC: COVID-19 Self-Assessment Attestation

To be completed by each athlete/coach BEFORE each LSC in person practice (even if not planning or able to attend practice). If participant is under 18 years old, attestation must be completed by parent/guardian. Any questions, please contact Nadia Facca, LSC Covid-19 Coordinator.

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* Indicates required question

Email *

Your email

Name of Parent/Guardian (Athletes/Coaches older than 18 write your name here) *

Your answer

Team *

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10U Team

10U Novice Team

11-12 Team

13-15 Grey Team and Jr Solo

13-15 White Team

13-15 Blue Team

13-15 Novice Team

Recreation/AquaGo Program

Other (Admin)

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