Next Pitch Attestation Form
Instructions: All parents/guardians/staff must complete a health attestation for their child prior to arriving at Next Pitch Baseball. To play baseball all the following answers must be no. Please fill this out the day of your lesson or group class.
Today's Date
Child's First Name
Child's Last Name
Parent Email Address
Class Attending (Day of the week & time)
Have you, your child or anyone in your household experienced any of the following symptoms the past 24 hours? Fever over 100, loss of taste or smell, cough, sore throat, difficulty breathing, gastrointestinal symptoms, headache, fatigue, any other signs of illness?
Clear selection
Have you, your child or anyone in your household had interaction with anyone known to be covid-19 positive (without wearing PPE) in the last 14 days.
Clear selection
Has anyone in your household traveled on an airplane in the past 14 days? Have you traveled outside of compliance with the Mass. Travel Guidelines?
Clear selection
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