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COVID-19 PROTOCOL QUESTIONAIRE
Players Full Name:
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First Name
Last Name
Date
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Month
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Day
Year
Date
Is your child or anyone in the household experiencing COVID symptoms?
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Please Select
YES
NO
Has your child or anyone in your household tested positive or been exposed to someone who tested positive for COVID?
*
Please Select
YES
NO
Is your child or anyone in your household pending a negative COVID test result?
*
Please Select
YES
NO
Does your child have a temperature above 100.3 degrees?
*
Please Select
YES
NO
If the answer is YES to anyone of these questions, please keep your child home. Please immediately report any positive results to the PSNFLAG TEAM.
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I Agree
Quarantine Protocol: If a player test positive on a team they MUST notify the Coach and the PSNFLAG TEAM. Team and opposing team of week prior will be notified. No personal information will be given only a notification of a potential exposure. Positive player's team's game for that week will be forfeited, and no team practices for that team will be held for 10 days. Players can return after 10 days and player has received a negative test result.
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I Agree
Acknowledgement
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I hereby certify that the above statements are true and correct to best of my knowledge.
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