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Visitor Screening Tool
Please fill out the form below electronically (preferred). Alternatively, you can print out the form below and scan and email to
covid@wiltonsoccer.info
. One form must be filled out for each participant.
PDF Form:
https://wiltonsoccer.org/wp-content/uploads/2020/09/Updated-8-6-20-Screening-Tool-Visitor-3-1.pdf
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Email
*
Your email
Visitor Screening Tool Overview
Date
*
MM
/
DD
/
YYYY
Time
*
Time
:
AM
PM
NAME OF PARTICIPANT:
*
Your answer
NAME OF PROGRAM:
*
Your answer
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