COVID Screening - Fall 2020

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Brewster Lacrosse hopes to provide the safest possible conditions as we return to play.
Players and coaches will not be able to participate without completing this form before every practice.
Please complete this form no more than 24 hours prior to your practice time.

Name of Participant *

Name of adult completing this form. *

Fall Program *

Is the player experiencing any COVID-19 symptoms as per the Center for Disease Control (“CDC”)? *

Yes

Has the player or anyone they have been in contact with tested positive for COVID-19 or been advised to quarantine within the last 14 days? *

Yes

Has the player been to a state on the NY Travel Advisory List during the last 14 days? *

Yes

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