EBA - COVID-19 Screening

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All players and coaches MUST complete this form not more than 1 hour prior to arriving for each practice/game day.

It is advised, and requested, that all attendees take their own temperature prior to completing this screening.

Please note:

* If you answer "YES" to any COVID-19 questions, the player/coach will not be permitted to participate and will be asked to leave the practice fields.

* If a player answers "NO" to bringing their own water bottle, he/she will not be allowed to participate.

Name (First AND Last) *

Role *

Player

Coach

Do you have any of the following Covid-19 symptoms: Fever/Chills, cough, sore throat, shortness of breath, vomiting or diarrhea, loss of taste/smell? *

Yes

In the past 14 days have you had close contact (within 6ft) with someone who is currently sick with suspected or confirmed COVID-19? *

Yes

Do you have a filled water bottle(s) for practice today? *

Yes

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