Renegades Lacrosse - Wellness Check
Girls Lax 5th/6th
Sign in to Google to save your progress. Learn more
Name of Athlete/Coach *
In the past 24 hours, has the Athlete/Coach had any of the following: Cough, Fever over 100.4F, vomiting, nausea, diarrhea, sore throat, or shortness of breath?  In the past 14 days, has the Athlete/Coach been in contact with someone testing positive for COVID-19?  Is the Athlete/Coach required to quarantine per CC guidelines? *
Enter the name of the Parent or Guardian completing this form on behalf of the Athlete/Coach.  I certify that this form was completed accurately. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of RockDen Renegades Lacrosse. Report Abuse
Google Forms