COVID-19 Questionnaire Today's Date*Student/Athlete Name* First Last Sport*Select SportBaseballBoys BasketballBowlingGirls BasketballCheerleadingBoys Cross CountryGirls Cross CountryFootballBoys GolfGirls GolfBoys LacrosseGirls LacrosseBoys SoccerGirls SoccerSoftballBoys TennisGirls TennisBoys Track & FieldGirls Track & FieldVolleyballWrestlingParent/Guardian Name* First Last Parent/Guardian Email* Parent/Guardian Cell*COVID-19 QuestionsHas your son/daughter been diagnosed with Coronavirus (COVID-19)?*YesNoIf diagnosed with Coronavirus (COVID-19), was your son/daughter symptomatic?*YesNoIf diagnosed with Coronavirus (COVID-19), was your son/daughter hospitalized?*YesNoHas any member of the student-athlete’s household been diagnosed with Coronavirus (COVID-19)?*YesNoSignature of Parent/Guardian*
