COVID-19 Tryout Form

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Please complete this form before practice

* Indicates required question

Group Number

1

2

3

4

5

6

Clear selection

Player Name *

Your answer

Person completing form

Your answer

Have you had a fever in the last 48 hours? *

Yes

No

Are you experiencing a cough? *

Yes

No

Are you experiencing a sore throat? *

Yes

No

Are you experiencing shortness of breath? *

Yes

No

Have you been in close contact or cared for someone with a confirmed case of COVID-19? *

Yes

No

What is your temperature today?

Your answer

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