JCSA Girls Recreation Soccer - Juniors              
COVID FORM CHECK - to be completed prior to each practice and game
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Email *
Player Name *
[Q1] Temperature Screen  ≥ 100.4 ° F *
[Q2] Tested positive for COVID in last 14 days *
[Q3] COVID Related Symptoms within the past 14 days *
[Q4] Traveled outside of the United States OR visited any state outside of New York, Connecticut, Pennsylvania or Delaware within the past 14 days *
[Q5] Exposure to, contact with someone who has had a positive COVID test or has experienced COVID-related symptoms  within the past 14 days *
A copy of your responses will be emailed to the address you provided.
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