Accelerate Sports Covid-19 Daily Screening Form
This health screening is mandatory for any party wishing to enter Accelerate Sports property. Please screen shot proof of submission on the next page and show to the Accelerate front desk staff member upon entering the building.
Email address *
Participant's First and Last Name *
Email Address *
Phone Number *
First and Last name of any other member of your party (parents, spectators, siblings etc). If not applicable type NONE *
Today's Date *
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DD
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Anticipated Time of Entry *
Time
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Sport *
COVID-19 symptoms
Fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of tased or smell, sore throat, congestion or runny nose, nausea, diarrhea or vomiting.
Have you or any member of your party had any of the above symptoms of Covid-19 in the past 14 days? *
Have you or any member of your party been in close contact with a confirmed or suspected COVID-19 case in the past 14 days? *
A copy of your responses will be emailed to the address you provided.
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