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Covid 19 Required Form
*
First Name:
*
Last Name:
Cell Phone:
Email:
*
Division:
T-Ball
Coach Pitch
Minors
50/70
Junior's
Are you experiencing any of the following symptoms (Check all that Apply)?:
Fever (Temperature over 100.4 F)
Cough
Sore throat
Shortness of breath
Fatigue
Muscle or body aches
Headache
Congestion or runny nose
Nausea or vomiting
Loss of taste or smell
In the past 14 days, have you traveled outside of the US?:
Yes
No
Have you been in close contact with anyone who has tested positive for COVID-19? *:
No
Yes
If you were exposed to Covid-19 or out of country, please provide details:
All my answers are true to the best of my knowledge. If I have answered yes to any of the above questions I will contact my coach before attending Practice. I accept the above *
* indicates required fields