BERGENFIELD LITTLE LEAGUE                                 P.O. Box 218 BERGENFIELD. NJ 07621                                      COVID-19 Pre-screening Questions Team JW MEYER

To protect the health and safety of our staff, their families, and the public, please complete this form before proceeding into any Bergenfield Little League facility. If you currently have a temperature at or above
 100.4 F, and\or have answered "Yes" to any of the questions below, please return home and contact your health care provider: you will not be granted access to this facility


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E-postadresse *
Phone Number *
Date: *
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Time *
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Name of Player/Coach *
Division/Team *
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