LF/SH Soccer League

Parents must complete the survey below for each child and every time your child is scheduled to attend a practice or game.

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* 1. Child's Full Name

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* 2. Date

Date

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* 3. Have you reviewed with your child the importance of washing and sanitizing their hands, social distancing and the importance of wearing a face covering on the sidelines?

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* 4. Does  your child have a temperature of 100.4 or greater?

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* 5. Does your child have a sore throat or other signs of illness, like a cough, diarrhea, severe headache, vomiting, body aches or a new loss of taste or smell?

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* 6. Has your child come in close contact with someone who has a laboratory-confirmed Covid-19 diagnosis in the past 14 days?

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* 7. If you said yes to questions 4 -7, please keep your child home and contact your child's coach and physician.

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