Form 1: COVID Exposure/Symptoms/Awaiting COVID Test Results
Planning ahead helps prepare needed information in case we need to make notifications to teams and families. It also helps us get responses from the MDH faster when we have all the information we need (if reporting is necessary). If a player/coach/volunteer/family member has COVID symptoms or is awaiting test results please complete the information below. Please email with any questions.
Person with COVID exposure/symptoms/awaiting test results:
Name of person this report pertains to: *
Team Name/Level: *
Symptoms and date of onset (if applicable):
Date of exposure, if applicable:
Date last at practice/game: *
Date COVID test collected, if applicable:
Parent email: *
Additional Comments:
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