Girls Classic League Covid-19 Risk Assessment questionnaire

Select your Team Name from the dropdown below

Enter Your Full Team Name

Name of person completing this form*

First NameLast Name

Your role on the team*

Your email address*

example@example.com

Your phone number (should we have additional questions)*

Please enter a valid phone number.

Date of your next game*

Date

Has a member of your team tested positive for Covid-19 in the last 10 days? This includes, players, team staff and parents.*

YesNo

Please complete the following for each infected Team Member. If more than FOUR individuals have tested positive, please notate that in the additional notes section at the bottom of this questionnaire.

	Date of Positive Test	Last Date they were with the team	Player/Coach/Parent
Positive Test 1
Positive Test 2
Positive Test 3
Positive Test 4

Please upload a copy of the Positive Covid Test Results. You may redact personal information prior to uploading.

Are any other members of the team that were directly exposed being tested?

YesNo

Are the player(s) currently quarantining from all activities including in-person school?*

The entire team is quarantiningSome of the team is quarantiningOnly the infected player(s) are quarantiningNot sure

Please list any other information you feel we need to know. Please do not include personal information of infected team members.

Once we receive this information, we will consult with our healthcare partner Baylor who will assess the risk and determine whether your match will need to be rescheduled and provide further guidance.