Husky 2021 Health Self Report
Please fill this out every day before practice or tryout
* Required
Your Name
*
Your answer
Only fill this out on the day of your practice/tryout
Only fill this out if you have a tryout today
Your Grade
*
7th or younger
8th
9th
10th
11th
Option 6
Other:
Do You Have Any of the Following? (if so, notify a Husky staff member before entering)
Fever, Shortness of breath or difficulty breathing, Cough, Chills, Headache, Sore Throat, recent loss of taste or smell?
In the past 14 days have you been in any state on the CT travel restriction list.
https://portal.ct.gov/Coronavirus/travel
In the past 14 days have you been exposed to anyone that has been diagnosed with COVID-19?
None of the above, Feel good and haven't been in those states in the last 14 days
*
Yes
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