Form 2: Positive COVID Test Report Form
MN River Youth Hockey is required to report lab-confirmed positive COVID cases of players, coaches and volunteers within our association. In order to communicate more efficiently with the MDH please complete the information below and a COVID Manager will be in contact with you as soon as possible. Information is kept private and only required information is reported to the MDH, coaches and team coordinators as needed for hockey operations.
Positive COVID case is a: *
Required
First Name *
Last Name *
Date of Birth *
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DD
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Team/Level *
Date last at practice or game: *
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DD
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YYYY
Date of COVID test collection: *
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DD
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YYYY
Symptoms, if any: *
Date of symptom onset, if applicable:
Parent email: *
Additional Comments:
Submit
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