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[null,"２０２２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）"]
[null,"大学名",{"$nulls":6},"氏  名",null,"男 ・ 女　　"]
[null,"住  所",{"$nulls":12},"連絡先　　　\n（電話、メール等）"]
[null,"移動・滞在先","（例：●月▲～◆日，東京）",{"$nulls":11},"ワクチン接種の有無",null,null,null,"1回目：　　　月　　　　日　　　2回目：　　　月　　　　日　　3回目：　　　月　　　　日"]
[null,null,"1日目","2日目","3日目",null,"4日目",null,"5日目",null,"6日目",null,"7日目",null,"8日目",null,"9日目",null,"10日目",null,"11日目",null,"12日目",null,"13日目",null,"14日目",null,"大会前日"]
[null,"日付","8月18日","8月19日","8月20日",null,"8月21日",null,"８月22日",null,"8月23日",null,"8月24日",null,"8月25日",null,"8月26日",null,"8月27日",null,"8月28日",null,"8月29日",null,"8月30日",null,"8月31日",null,"9月1日"]
[null,"体温","       ℃","       ℃","       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃",null,"       ℃"]
[]
[null,"せき"]
[null,"呼吸困難"]
[null,"鼻汁・鼻閉"]
[null,"咽頭痛"]
[null,"頭痛"]
[null,"下痢"]
[null,"おう吐"]
[null,"だるい"]
[null,"その他症状"]
[null,"備考欄"]
[{"$nulls":12},"※せき、呼吸困難等の症状につきましては、該当するところに「〇」をつけてください。"]
[{"$nulls":12},"※虚偽の申請は社会的に多大な損害をもたらすことがあります。"]
[{"$nulls":12},"※プリントアウトして、各チームでとりまとめ、大会当日の試合前に本部に提出すること。"]