Goodview Sandlot COVID Reporting Form

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Please report any contact or symptoms of COVID-19. This would include any family members that have tested positive, or contact with a positive case outside of baseball (including at school).

Also, describe any symptoms that may be COVID-19 related and provide as much detail as possible around dates of contacts.

Player Name *

Player Email Address *

Player Phone Number *

What team is player on? *

Last Date player had contact with the team? *

YYYY

What are your symptoms? *

First Date of Symptoms? *

YYYY

Did you take a Covid Test? If so when? *

Covid Test Result *

Positive

Negative

No test taken

Date of Close Contact, If you had been in close contact with someone who has Covid, please provide the date of your last contact with them *

Close Contact Details, If you are reporting close contact, please provide any details you can around the contact to help us understand the scope *

Any additional Information

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