Eagan Baseball - Covid Reporting Form
Please report any contact or symptoms of COVID-19. This would include any family members that have tested positive, or contact with a positive case outside of baseball (including at school).

Also, describe any symptoms that may be COVID-19 related and provide as much detail as possible around dates of contacts.
Player Name *
e-mail Address *
Phone number *
In-House / Travel *
Required
Team Name *
Last Date of Contact with Team *
When was the last date you were in contact with members of your team
MM
/
DD
/
YYYY
Symptoms
If you are currently having symptoms please list them here.
First Date of Symptom
MM
/
DD
/
YYYY
Date of COVID-19 Test Taken
If you have taken a Covid team, please provide the date you took it
MM
/
DD
/
YYYY
Date of COVID-19 Result Received
MM
/
DD
/
YYYY
COVID-19 Test Result
Clear selection
Date of Close Contact
If you had been in close contact with someone who has Covid, please provide the date of your last contact with them
MM
/
DD
/
YYYY
Close Contact Details
If you are reporting close contact, please provide any details you can around the contact to help us understand the scope
Any additional information
Submit
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