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NJ Sports House - Pre Screening Covid-19
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Athlete Name  & Appointment Time *
Organization *
Is your Temperature greater than 100.3 today? *
What is your Temperature on the morning of our Training? *
What School do you go to?
Do you or our have a cough or shortness of breath? *
Do you have a sore throat, chills, muscle aches, headache? *
Do you have a new loss of taste or smell, Ab pain, nausea, vomiting or diarrhea? *
Have you had close contact with someone who is currently sick? *
Have you been diagnosed with Covid-19 in the past 3 weeks? *
Have you traveled or had close contact with anyone who has traveled internationally in the last 14 days? *
Have you traveled to one of 50 states in the last 14 days? *
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