Health Questionnaire

SD Force FC- Health Screening Questionnaire Related to COVID-19
YesNo
YesNo
YesNo
YesNo
YesNo
Participants who are well but who have a sick family member at home with COVID-19 or answer YES to ANY of the above should not practice.
Date*

MonthDayYear
Date
Location
Player Name*
Division*
Age Group*
Coach*
Parent/Guardian Signature*

Clear
Should be Empty:

SD Force FC- Health Screening Questionnaire Related to COVID-19