Player Health Assessment Player Health Assessment Playe Name* First Last Team Name* Email* Practice/Game Date* Month Day Year Are you currently feeling any of these symptoms?*Please select all that apply. Cough Fever Sore Throat Shortness of Breath Diarrhea None of the above Have you been in close contact with someone with COVID-19 in the last 14 days?* Yes No In the last 14 days have you travelled to any state that NYS requires a 14-day quarantine upon your return?* Yes No CAPTCHA