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COVID-19 Athlete-Coach Wellness Check-In
Each athlete and coach will complete this form upon arriving at summer sessions/practice. Summer 2020.
NOTIFY THE COACH IMMEDIATELY IF YOU RESPOND "YES" TO ANY QUESTION.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Player or Coach
*
Player
Coach
Do you have a fever (Temperature > 100.0 degrees)?
*
No
Yes
Enter temperature if greater than 100.0 degrees
Your answer
Are you currently experiencing shortness of breath?
*
No
Yes
Do you currently have a cough?
*
No
Yes
Do you currently have a sore throat?
*
No
Yes
Do you currently have a loss of taste or smell?
*
No
Yes
Have you been in contact in last 14 days with a person with COVID-19?
*
No
Yes
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