2021 Spring/Summer COVID Health Questionnaire
Please Submit this form EVERDAY prior to your swimmers practice.
First Name *
Last Name *
Program Group *
Athlete is experiencing Fever (100.4 or higher) *
Athlete is experiencing NEW Cough, Congestion, Sore Throat, headache or Chills? *
Athlete is experiencing NEW symptoms of shortness of breath, muscle aches, or flu like symptoms? *
Has the athlete had close contact with or cared for someone diagnosed with COVID-19 in the last 14 days? *
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