Covid-19 Contact Tracing
In order to keep everyone safe, we ask that you fill out this form if you have experienced symptoms, come in contact with a potential positive case, or have tested positive yourself. We want to continue to skate and need your help in making sure we all remain safe and healthy.
Email address *
Phone # *
First & Last Name *
Adult League Team(s) you play for? *
Symptoms?
Have you experienced any COVID-19 symptoms in the last 14 days? *
When did the symptoms start?
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If you have experienced symptoms, have you been tested? *
When were you tested?
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Have you came in contact with someone who may have COVID-19?
Have you come in contact with anyone who has tested positive in the last 14 days? *
When was the potential contact?
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If you came in contact with someone, have you been tested? *
When were you tested?
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Notification of Exposure
Do you wish to remain anonymous with your team? *
We will not disclose your name to other teams and it will only be communicated that they came in contact with a potential positive case, we will not say who the exact person is.
Has your team(s) been notified of the potential exposure? *
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