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Player, Coach & Spectator Return to Play Questionnaire
This form is to be completed before EVERY practice/game by players, coaches and spectators.
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* Indicates required question
Player First Name
*
Your answer
Player Last Name
*
Your answer
Team Name
*
Your answer
Do you currently have, or in the last 7 days have had, any of the following symptoms: fever, new or worsening cough, shortness of breath, sore throat, vomiting, diarrhea?
*
Yes
No
Have you had a closed prolonged contact in the last 14 days with an individual diagnosed with COVID-19?
*
Yes
No
If you answered YES to either one of the questions above, please stay home and notify your coach or a club official.
Your answer
Have you checked your temperature before the training session?
*
Yes
No
Did your temperature exceed 100.4 or higher ? If you are answering yes to this question stay home and notify your coach or a club official.
*
Yes
No
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This form was created inside of Rochester Youth Soccer League.
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