STAFF/PLAYER’S: COVID-19 Daily Self-Screening Form

Staff/Players's COVID-19 Daily Self-Assessment

Fields marked with an * are required.

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Help Keep Yourself and Others Safe

As everyone is aware, early recognition of COVID-19 symptoms can greatly reduce the risk of transmitting the disease from one person to the next.

My signature above indicates that this information is a true representation of the player's health status or staff member named above at the submission of this form.

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