St. Hubert Athletics Department

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Email *

Name *

Grade *

9th

10th

11th

12th

Coach

Sport *

Cross Country

Field Hockey

Golf

Soccer

Tennis

Volleyball

Cheerleading

Basketball

Swimming

Bowling

Indoor Track

Softball

Lacrosse

Outdoor Track

Temperature

Do you have a new onset of cough or shortness of breath? *

Yes

Have you had a fever or felt chills? *

Yes

Do you have a headache? *

Yes

Have you experienced loss of taste or smell? *

Yes

Have you had a known exposure to a CoVID-19 positive individual? *

Yes

Have you had a sore throat? *

Yes

Have you had any general muscle soreness or fatigue? *

Yes

Have you recently traveled outside the surrounding area? If so where? *

If you have not please type: No

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