SMASH Daily Health Self-Report Form
Must be completed the same day you or your athlete attend any SMASH activity
Email address *
SMASH participant's Full Name *
SMASH participant's Date of Birth *
Today, or in the past 24 hours, have you/your athlete, or any member of your/the athlete's household had any of the following symptoms or fits the description: (If you answer Yes to any of the checkboxes you should stay home and not attend today's SMASH session.) *
By typing my name below I attest that the above information is accurate to the best of my knowledge for the participant named above: *
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