COVID-19 Mandatory Symptom Check
If your team is using a team app with an integrated symptom check (ex. TeamSnap or Gamechanger), DO NOT use this form. Use the team app instead. This form shall be completed by all participants (ex. teams, umpires, visiting interlock teams, or other volunteers) who are not utilizing a team app with integrated symptom check.

Each participant (ex. manager/coach, athlete, umpire, spectator, or other volunteer) shall submit a mandatory symptom check prior to arriving at the field before every practice/game. This should be completed before leaving your home to travel to the practice/game. It should not be completed the day or night before.

All participants shall stay home if they are diagnosed with COVID-19 and/or if they are experiencing any signs of illness. Participants who have been exposed to COVID-19 (i.e. close contact) do not need to quarantine if they have been fully vaccinated and boosted (if booster eligible) and have not had any COVID-19 symptoms since the COVID-19 exposure, but testing on or after Day 5 is recommended, and a face covering must be worn whenever near others for at least 10 days.
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Email *
Date of Practice/Game *
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First Name of Participant *
Last Name of Participant *
Full Name of Parent (if completing form for child)
Telephone *
Division *
Team Name (for umpires and visiting interlock teams, select the home team) *
Select the Participant's Role *
Has the participant listed above experienced any of the following symptoms within the last three days -- Fever or Chills; Cough; Shortness of Breath or Difficulty Breathing; Sore Throat; Fatigue; Muscle or Body Aches; Headache; Loss of Taste or Smell; Nausea, Diarrhea, or Vomiting? *
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