LTTTC COVID-19 Screening Questions
Players or parents (if the player is under the age of 18) must sign our liability waiver and are required to fill out this form before returning.
Email address *
Do you have any COVID-19 symptoms, such as fever, shortness of breath, or cough? *
Does anyone in your family or close contacts show any COVID-19 symptoms? *
Have you been advised to self-quarantine because of exposure to someone with COVID-19? *
Have you traveled in the past 14 days to any regions impacted by COVID-19? *
Have you tested positive for COVID-19 in the past 14 days? *
Are you over the age of 65? *
Do you have any of the following: *
Which club activity were you previously associated with? *
Which date do you expect to return? *
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