LNGBA Covid Reporting form
Use this form to report positive Covid tests. No names will be shared with coaches or teams (you may release that information directly if you would like). LNGBA will notify the team if they have been exposed and of the date of the exposure. Only the LNGBA Covid Manager will have access to this form.
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Player's Name *
Parent first and last name *
Parent email *
Parent Phone *
Date of positive test result *
MM
/
DD
/
YYYY
Date of first symptoms (best estimate if unsure) *
MM
/
DD
/
YYYY
Date of last contact with basketball team *
MM
/
DD
/
YYYY
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