Players First & Last Name*
Field is required!
Field is required!
Emergency Contact Phone Number*
Field is required!
Field is required!
2. Do you have any of the following symptoms which are new or worsened if associated with allergies, chronic or pre-existing conditions: fever, cough, shortness of breath, difficulty breathing, sore throat, and/or runny nose?
4. In the past 14 days, at work or elsewhere, did you have close contact with someone who has a probable or confirmed case of COVID19?
5. In the past 14 days, at work or elsewhere, did you have close contact with a person who had acute respiratory illness that started within 14 days of their close contact to someone with a probable or confirmed case of COVID-19?
6. In the past 14 days, at work or elsewhere, did you have close contact with a person who had acute respiratory illness who returned from travel outside of the country in the 14 days before they became sick?