COVID Screening Chart
To be used each week by team captains, per the COVID-19 Plan.
Questionaire: Have you...
- (a) knowingly been in close or proximate contact in the past 14 days with anyone who has tested positive for COVID-19 or who has or had symptoms of COVID-19 in the past 14 days
- (b) tested positive for COVID-19 in the past 14 days; and/or
- (c) has experienced any symptoms of COVID-19 in the past 14 days.
Enter a Yes or No for each player each week.
| Name |
Phone or Email |
Vaccinated |
4-May |
11-May |
18-May |
25-May |
1-Jun |
8-Jun |
15-Jun |
22-Jun |
29-Jun |
6-Jul |
13-Jul |
20-Jul |
27-Jul |
3-Aug |
10-Aug |
17-Aug |
24-Aug |
31-Aug |
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Posted May 9, 2021, 8:32 pm.
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