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NYS has stated in order to return to play a screening process must be put in place for coaches: At Minimum , screening must determine weather the coach answers yes to any of the following Covid-19 screening questions.  This survey is to be filled out before every game or practice.  Please use the below guide to determine if you should attend practice or a game based on your answers. 

Did you answer NO to ALL QUESTIONS?
You are safe to attend practice or game. 

Did you answer YES to ANY QUESTION?
You can not attend practice or a game until approved to do so by health care professional or the Health department. 

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* 1. Please Fill in the following information

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* 2. Please check if this day was a Game or Practice

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* 3. Date of Practice or Game

Date

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* 4. Have you had COVID-19 symptoms? ( Please click on the following link for common Covid-19 symptoms if you are unsure CDC Symptoms )

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* 5. Within the past 14 days, have you been in close physical contact (6 feet or closer for a
cumulative total of 15 minutes) with:
• Anyone who is known to have laboratory-confirmed COVID-19?
OR
• Anyone who has any symptoms consistent with COVID-19?

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* 6. Are you isolating or quarantining because you may have been exposed to a person with
COVID-19 or are worried that you may be sick with COVID-19?

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* 7. Are you currently waiting on Covid-19 test results? 

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* 8. By typing your Full name below you agree to the best of your knowledge you have answered all the screening questions correctly and truthfully.

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