Player Return to Play Questionnaire
This form is to be completed before EVERY practice/game.
Player First Name *
Player Last Name *
Age of Player *
Do you currently have, or in the last 7 days have had, any of the following symptoms: fever, new or worsening cough, shortness of breath, sore throat, vomiting, diarrhea? *
Have you had a closed prolonged contact in the last 14 days with an individual diagnosed with COVID-19? *
If you answered YES to either one of the questions above, please stay home and notify your coach or a club official.
Have you checked your temperature before the training session? *
Did your temperature exceed 100.4 or higher ? If you are answering yes to this question stay home and notify your coach or a club official. *
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