General Contact Information First Name and Last Name of Player * First Name and Last Name of Person Completing the Form * Email Address * Email address of person filling out the questionnaire Phone Number * Phone number of person filling out the questionnaire Player Health Questionnaire Did you take your temperature today? What was your temperature? * YesNo What was your temperature today? * Have you had a fever (temperature greater than 100.4 F) in the last 48 hours? * YesNo Have you been near someone with a confirmed case of COVID-19 in the past 14 days? * YesNo Do you have a cough, shortness of breath, or a sore throat? * YesNo Have you recently lost your sense of taste or smell? * YesNo Do you have any reason to believe you or anyone in your household has been exposed to or acquired COVID-19? * YesNo Do you have any health/wellness concerns for the student today? * YesNo MessageIf you would like to send a message, ask a question or make a suggestion, please use the two fields below. Message
