Sports Tournament Team Health Declaration
Team Name
Event Name
Date
Team Members
#
Full Name
Age
Role (Player/Coach/etc.)
Contact No.
Temperature (°C)
Symptoms (if any)
Vaccinated (Yes/No)
1
Yes
No
2
Yes
No
3
Yes
No
4
Yes
No
5
Yes
No
Health Screening
Has anyone on the team exhibited any of the following in the past 14 days: fever, cough, sore throat, difficulty breathing, or loss of taste/smell?
No
Yes
Has anyone on the team had contact with a confirmed or suspected case of a communicable disease in the past 14 days?
No
Yes
I hereby declare that the information provided above is true and complete to the best of my knowledge.
Team Official Name
Signature
Date