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NBBA COVID Questionnaire
All NBBA Players and families must fill this out before arriving at the gym. Please screen shot the screen and show your coach before entering. If you have any signs, symptoms, or have been in close contact, your child needs to stay home and contact the league. Thank you for your help in this matter
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* Indicates required question
Email
*
Your email
Email Address
*
Your answer
Date
*
MM
/
DD
/
YYYY
Which Gym are you attending
Hope Church
NECC
Clear selection
Time (Must be filled out within 30 minutes of entering gym)
*
Time
:
AM
PM
Name of Player (please include the 1 parent/guardian that will be staying if applicable)
*
Your answer
Team Name
*
Your answer
Do you have any of the following symptoms? Fever, cough, shortness of breath, fatigue, body aches, a new loss of taste or smell, sore throat, congestion, nausea or vomitting?
*
Yes
No
If the answer is yes, please DO NOT come to the gym, and contact the league
Required
In the past 14 days, have you or any member of your household come in close contact with a person known to be infected with COVID19?
*
Yes
No
If the answer is yes, PLEASE DO NOT come to the gym and contact the league
A copy of your responses will be emailed to the address you provided.
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