COVID-19 Daily Health Screening

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LHS Baseball - 2022

Please do not come to practice or games if you have had symptoms consistent with COVID-19, have been exposed or have tested positive for COVID-19.

Todays Date *

YYYY

Player/ Coach Email Address: (Select one) *

Are you feeling sick? *

Yes

Do you have any of the following symptoms? *

Feeling feverish (such as chills, sweating)

Cough

Mild or moderate difficulty breathing

Sore throat

Muscle aches or body aches

Vomiting or diarrhea

New loss of taste or smell

Congestion or runny nose

None of the above

Electronic Declaration *

I hereby declare that the details furnished above are true and correct to the best of my knowledge.

Required

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