COVID Screening

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COVID Screening

Stafford Little League Health Check. Required to be completed by both coaches and players each day your team assembles (practices and games).

Email *

Names of the participants *

First names (and Sr., Jr., etc. as necessary). Please limit this to individual families. This form is not intended to be completed by a coach for the entire team.

Select your team *

Select your team. Please be sure you select the correct division and team.

Have you experienced any of the following symptoms in the past 48 hours: *

If you or your child have had any of the above symptoms in the last 48 hours, you are NOT permitted to participate in group baseball activities until symptoms have subsided for more than 48 hours.

Are you isolating or quarantining because you tested positive for COVID-19 or are worried that you may be sick with COVID-19? *

If you have concerns about being exposed to or sick with COVID-19, please stay home and self-quarantine or isolate.

Are you fully vaccinated OR have you recovered from a documented COVID-19 infection in the last 3 months? *

To be considered fully vaccinated, you must be ≥2 weeks following receipt of the second dose in a 2-dose series or ≥2 weeks following receipt of one dose of a single-dose vaccine.

Have you been in close physical contact in the last 14 days with: *

Close physical contact is defined as being within 6 feet of an infected/symptomatic person for a cumulative total of 15 minutes or more over a 24-hour period starting from 48 hours before illness onset (or, for asymptomatic individuals, 48 hours prior to test specimen collection). If you have been in close contact with someone with COVID-19, you should stay home and self-quarantine for 14 days before returning to baseball activities.

Are you currently waiting on the results of a COVID-19 test? *

IMPORTANT: ANSWER “NO” IF YOU ARE WAITING ON THE RESULTS OF A PRE-TRAVEL OR POST-TRAVEL COVID-19 TEST

Have you traveled in the past 10 days? *

Travel is defined as any trip that is overnight AND on public transportation (plane, train, bus, Uber, Lyft, cab, etc.) OR any trip that is overnight AND with people who are not in your household.

I certify that my responses are true and correct *

Enter full name

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