03-06-2021 NOTB Lacrosse COVID - 19 Health Screening
RequiredRequired Question(s)
Required 1.

In the last 14 days, has anyone in your household had close contact with someone who has or is suspected to have COVID-19?

Yes
No
Required 2.
In the last 48 hours, have you/your child(ren) experienced any of the following symptoms?
*Fever (over 100.4 F)
*Headache
*Cough
*Sore Throat
*Shortness of Breath
*Chills
*Muscle Aches
*Loss of Taste and Smell
*Gastrointestinal (nausea, vomiting, or diarrhea)
Yes
No
Required 3.

Have you tested positive for Covid-19 in the last 14 days? 

Yes
No
Required 4.
Enter Player's Name and additional information below.

First Name:
Last Name:
Email Address:
emailaddress@xyz.com
Grade:
Mobile:
Team:

If you answered YES to questions 1-3 participation in tomorrow's training session is prohibited.  Contact info@NOTBboxLAX to discuss.  Thank you!