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.
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:
None of the above
Which club activity were you previously associated with?
Advanced A/B Team
UC San Diego
Adult Beginner/Advanced Group
Open Play/Club Member
Which date do you expect to return?
At the earliest date possible
After the pandemic ends (TBD)
I do not plan on returning
Send me a copy of my responses.
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