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GDSDA Required Health Check Form
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* Indicates required question
Email
*
Your email
First Name:
*
Your answer
Last Name:
*
Your answer
Phone Number:
*
Your answer
I understand and acknowledge that the rules for this tournament were made at the time of invitation and require me to remain masked at all times. I agree to abide by these rules throughout my time at this tournament in support of those who entered this agreement before changes to State policy were made.
*
Yes
Do you have a new cough that you can not attribute to another health condition?
*
Yes
No
Do you have new shortness of breath that you cannot attribute to another health condition?
*
Yes
No
Do you have any two of the following symptoms: fever (100.4 F or higher), chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell?
*
Yes
No
Have you come into close contact (within 6 feet for 15 minutes or more) with someone who has a laboratory-confirmed COVID-19 diagnosis in the past 14 days?
*
Yes
No
Which school are you attending the tournament with today?
*
Your answer
What is your role today?
*
Coach
Competitor
Judge
Send me a copy of my responses.
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