Please complete this form prior to each game and practice if the player/coach/volunteer is participating. Your responses will be emailed to the email addresses on file for the team so the head coach knows the Health Questionnaire for COVID-19 was completed. The responses for all teams are retained so the documentation is available to the Hardwood Palace.
If you have tested positive for COVID-19, are awaiting test results, or have had significant exposure to a positive COVID-19 individual, then you should not participate. You should contact your coach and the athletic president for the program where you are playing. If you do not have contact information for the athletic president, then email us. The required health department may need to be notified. When you can return to play needs to be determined.
A player/coach/volunteer cannot participate if that person had a fever in the last 24 hrs or the response is Yes to any of the remaining health questions.
A temperature should be taken at home before the game or practice.
For children, a fever is a temperature >100.4. For others (age >18), a fever is a temperature >100.
The detail questions for symptoms are:
Today or in the last 24 hours have you experienced new or worsening symptoms of any of the following?
a. Had a fever? (Temperature >100.4 for children and >100 if age >18)
b. Feel like you have had a fever?
c. Chills?
d. Unexplained muscle pain/body aches?
e. New or worsening cough?
f. Trouble breathing?
g. New loss of sense of taste or sense of smell?
h. Sore throat, different from your seasonal allergies?
i. New or worsening diarrhea (not consistent with chronic medical conditions)?
j. Vomiting?
The date/time of the event is needed. If there are two events in one day (and it is not a doubleheader), then two completions of the form are required.