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COVID-19 Mandatory Symptom Check
Each participant (ex. manager/coach, athlete, umpire, spectator, or other volunteer) shall submit this form prior to arriving at the field before every practice/game.

All personnel shall stay home if they are diagnosed with COVID-19, if they had a known close contact, and/or if they are experiencing any signs of illness.
Email address *
Date of Practice/Game *
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DD
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First Name of Participant *
Last Name of Participant *
Full Name of Parent (if completing form for child)
Telephone *
Division (if umpire, select the division you are umpiring) *
Team Name (if applicable)
Select the Participant's Role *
Has the participant listed above experienced any of the following symptoms within the last three days -- Fever or Chills; Cough; Shortness of Breath or Difficulty Breathing; Sore Throat; Fatigue; Muscle or Body Aches; Headache; Loss of Taste or Smell; Nausea, Diarrhea, or Vomiting? *
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