Plano Lacrosse Self Screening Tool
Prior to arriving to practices or games, please complete the following self-screening tool to ensure you are safe to be at the fields.  If you answer YES or any of the questions below, on-site attendance is RESTRICTED. Please stay home and notify hsadmin@planolacrosse.com (high school) or youthadmin@planolacrosse.com (K-8th)

Sign in to Google to save your progress. Learn more
Team/Grade *
Player Name *
In the past 10 days, have you had known contact with any person with lab confirmed case of COVID-19? *
Do you feel feverish or have a measured temperature greater than 100 degrees? *
Do you have a new or worsening cough or shortness of breath or difficulty breathing? *
Are you experiencing any of the following symptoms? Check all that apply: *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Plano Lacrosse Association. Report Abuse
Google Forms