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COVID-19 Questionnaire
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* Indicates required question
Student athlete last name
*
Your answer
Student athlete first name
*
Your answer
Parent/Guardian Cell
*
Your answer
Sport
*
Softball
Has your son/daughter been diagnosed with Coronavirus (COVID-19)?
*
Yes
No
If diagnosed with Coronavirus (COVID-19), was your son/daughter symptomatic?
Yes
No
Clear selection
If diagnosed with Coronavirus (COVID-19), was your son/daughter hospitalized?
Yes
No
Clear selection
Has any member of the student-athlete’s household been diagnosed withCoronavirus (COVID-19)?
*
Yes
No
Signature of Parent/Guardian
*
Your answer
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