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[{"$nulls":9},"大会名：第46回　東京城東地区交流試合"]
[null,null,"※選手・付き添いの方　それぞれご提出お願いします。",{"$nulls":6},"支部・道場名：城東葛西支部　"]
[{"$nulls":9},"お名前："]
[{"$nulls":9},"連絡先(携帯)："]
[null,"体調チェックシート"]
[null,"2023年"]
[null,null,1,2,3,4,5,6,7,8,9]
[null,"日付","体温","咳・のどの痛み等の風邪の症状","身体が重く感じる","疲れやすい","息苦しさ","嗅覚や味覚の異常","同居家族や身近な知人に感染が疑われる方がいる","新型コロナウイルス感染症陽性とされたものとの濃厚接触があった","過去2週間以内に政府から入国制限・入国後の観察期間を必要とされている国、地域等への渡航又は当該在住者との濃厚接触がある場合"]
[null,null,null,"軽　中　重","軽　中　重","軽　中　重","軽　中　重","軽　中　重"]
[null,"3/5","℃","□ □ □","□ □ □","□ □ □","□ □ □","□ □ □","□","□","□"]
[null,"3/6","℃","□ □ □","□ □ □","□ □ □","□ □ □","□ □ □","□","□","□"]
[null,"3/7","℃","□ □ □","□ □ □","□ □ □","□ □ □","□ □ □","□","□","□"]
[null,"3/8","℃","□ □ □","□ □ □","□ □ □","□ □ □","□ □ □","□","□","□"]
[null,"3/9","℃","□ □ □","□ □ □","□ □ □","□ □ □","□ □ □","□","□","□"]
[null,"3/10","℃","□ □ □","□ □ □","□ □ □","□ □ □","□ □ □","□","□","□"]
[null,"3/11","℃","□ □ □","□ □ □","□ □ □","□ □ □","□ □ □","□","□","□"]
[null,"3/12","℃","□ □ □","□ □ □","□ □ □","□ □ □","□ □ □","□","□","□"]
[null,"3/13","℃","□ □ □","□ □ □","□ □ □","□ □ □","□ □ □","□","□","□"]
[null,"3/14","℃","□ □ □","□ □ □","□ □ □","□ □ □","□ □ □","□","□","□"]
[null,"3/15","℃","□ □ □","□ □ □","□ □ □","□ □ □","□ □ □","□","□","□"]
[null,"3/16","℃","□ □ □","□ □ □","□ □ □","□ □ □","□ □ □","□","□","□"]
[null,"3/17","℃","□ □ □","□ □ □","□ □ □","□ □ □","□ □ □","□","□","□"]
[null,"3/18","℃","□ □ □","□ □ □","□ □ □","□ □ □","□ □ □","□","□","□"]
[null,null,"℃","□ □ □","□ □ □","□ □ □","□ □ □","□ □ □","□","□","□"]
[null,null,"℃","□ □ □","□ □ □","□ □ □","□ □ □","□ □ □","□","□","□"]
[null,"*平熱を超える発熱が3日以内で収まらない場合"]
[null,"*２～６が単独で3日以内に収まらない場合"]
[null,"*1日でも平熱を超え、５と６を併発した場合"]
[null,"*8、9のいずれかに該当する場合"]
[null,"上記に該当した場合、試合当日の会場入りはできません。速やかにその状況を支部長に報告"]
[null,"本書式は、上記に該当せず会場入りする際、提出を義務付けます。"]