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["２０２０年　新型コロナウイルス　健康観察チェックシート（役員・選手）"]
["大学名",{"$nulls":6},"氏  名",null,"男 ・ 女　　",{"$nulls":9},"生年月日"]
["住  所",{"$nulls":12},"連絡先　　　\n（電話、メール等）"]
["滞在先","（例：●月▲～◆日，東京）"]
[null,"1日目","2日目","3日目",null,"4日目",null,"5日目",null,"6日目",null,"7日目",null,"8日目",null,"9日目",null,"10日目",null,"11日目",null,"12日目",null,"13日目",null,"14日目",null,"15日目"]
["日付","2020-08-14","2020-08-15","2020-08-16",null,"2020-08-17",null,"2020-08-18",null,"2020-08-19",null,"2020-08-20",null,"2020-08-21",null,"2020-08-22",null,"2020-08-23",null,"2020-08-24",null,"2020-08-25",null,"2020-08-26",null,"2020-08-27",null,"2020-08-28"]
["体温","       ℃","       ℃","       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃"]
[]
["せき","無・有","無・有","無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有"]
["呼吸困難","無・有","無・有","無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有"]
["鼻汁・鼻閉","無・有","無・有","無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有"]
["咽頭痛","無・有","無・有","無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有"]
["頭痛","無・有","無・有","無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有"]
["下痢","無・有","無・有","無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有"]
["おう吐","無・有","無・有","無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有"]
["だるい","無・有","無・有","無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有",null,"無・有"]
["その他症状"]
["備考欄"]
[{"$nulls":19},"※プリントアウトして、大会当日の試合前に本部に提出すること"]