Middle School Wrestling COVID-19 Student-Athlete Daily Pre-Screening Questionnaire

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Each day all coaches, student-athletes, and staff must clear the pre-screening process before they are permitted to participate.

Any individual who answers “yes” to any question on the questionnaire, or who has a temperature greater than 100.4°F, shall not be permitted to participate in the workout and will be required to return home and notify your doctor for further instructions.

Any individual who answers “yes” to any question on the questionnaire shall be required to provide clearance from a medical doctor before they will be permitted to resume participation in the workouts.

Email *

First Name: *

Last Name: *

Parent/Guardian Name and Cell Phone Number: *

Emergency Contact Name and Cell Phone Number: *

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