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Covid-19 Questionnaire for Student-Athletes

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Covid-19 Questionnaire for Student-Athletes

To participate in workouts during the summer recess period, the parent/guardian must complete this form. This form only needs to be completed one time. 

Grade*
Answer Required
Has your son/daughter been diagnosed with Coronavirus (COVID-19)? *
Answer Required
If diagnosed with Coronavirus (COVID-19), was your son/daughter symptomatic?*
Answer Required
If diagnosed with Coronavirus (COVID-19), was your son/daughter hospitalized?*
Answer Required
Has any member of the student-athlete’s household been diagnosed with Coronavirus (COVID-19)?*
Answer Required
Does your son/daughter have pre-existing medical conditions and/or are they immunocompromised (e.g., diabetes, asthma, auto-immune disorders, etc.)?*
Answer Required
PARENT/GUARDIAN: By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "I Accept" you consent to be legally bound by this Agreement's terms and conditions. *
Answer Required