COVID-19 Reporting Form
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Player Name
Parent Name
Parent Email
Parent Phone
Division *
Is Player Vaccinated? *
Symptoms/Exposure/Test *
Date of Symptoms or Exposure *
MM
/
DD
/
YYYY
Tested? Yes or No *
Required
Will be tested on:
Did your player attend a team event? If yes, provide date and short description of event. IE, 9-30 team practice.
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