Girls' Soccer COVID-19 Athletic Monitoring Form
Please fill out this form before you show up to practice/games. Please answer all questions honestly and thoroughly.

If you answer yes to any of these questions, please stay home and alert your coach that you are doing so.
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Email *
What is your First Name? *
What is your Last Name? *
Do you have Fever or Chills? *
Do you have a Cough? *
Do you have Nasal Congestion or Runny Nose? *
Do you have Sore Throat? *
Do you have Shortness of Breath or Difficulty Breathing? *
Do you have Diarrhea? *
Do you have Nausea or Vomiting? *
Do you have Fatigue? *
Do you have a Headache? *
Do you have Muscle or Body Aches? *
Do you have any New Loss of Taste or Smell? *
How are you emotionally feeling? *
Do you have any questions or concerns? *
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