Cicero Little League COVID-19 Questionaire
In compliance with NYS guidelines, all participants MUST complete this form in good faith prior to any Cicero Little Little league events such as practices or games.
Email address *
Parent / Guardian Name *
Player's Name (s) *
Player's Division *
Team manager's last name? *
Have you or anyone in your household had COVID-19 symptoms in the past 14 days, including but not limited to cough, shortness of breath or difficulty breathing, fever, chills, muscle pain, sore throat, or loss of taste or smell? *
Have you or anyone in your household had a positive COVID-19 test in the past 14 days? *
Are you or is anyone in your household awaiting the results of a COVID-19 test? *
Have you or anyone in your household had close contact with a person who is considered a confirmed or suspected positive COVID-19 case in the past 14 days? *
Have you or anyone in your household traveled outside of New York State to a state designated as a state with significant community spread of Covid-19 pursuant to the New York State Travel Advisory? *
Have you or anyone in your household had contact with an individual who resides in or traveled outside of New York State to a state designated as a state with significant community spread of Covid-19 pursuant to the New York State Travel Advisory? *
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