Novi Cats Health Screening Survey
In accordance with the Oakland County Health Department and the CDC, all staff and players must complete a health screening prior to reporting. A new screening must be completed each time any staff and players reports to practice.

Important: This screener must be filled out daily within 4 hours of participating in Open Gym, Training, Practice, Games, etc.
Participant's Last Name *
Participant's First Name *
Participant's Grade *
Parent/Guardian's Name *
Phone Number *
1. Have you experienced any of the following symptoms in the last 24 hours? *
Yes
No
Fever (over 100.4 degrees F) or Chills
Cough
Shortness of Breath or Difficulty Breathing
Nausea or Vomiting
Diarrhea
Muscle or Body Aches
Loss of Taste or Smell
If you responded "yes" to any of the above questions or your temperature was above 100.4 F, you are NOT permitted in any of the school buildings.
Have you been in close contact with someone who has exhibited COVID-19 symptoms? *
Are you currently waiting on the results of a COVID-19 test on your child or anyone in your household?
Clear selection
Have you been in close contact with someone who has tested positive for COVID-19? *
If you responded "yes" to the above question, you must self-isolate/self-quarantine for 14 days. If you responded "no" to the above question, your child may participate with Novi Cats today.
Novi Cats COVID-19 Protocol:
To provide a safe environment, and in recognition of the strict measures from the Governor and health department regarding COVID-19, the following procedures will apply to all Novi Cats Basketball activities.

The Pre-Screening Checklist must be completed each day before participating in a Novi Cats Basketball activity and brought with the participant to the event.

Entry / Exit of participants to Novi Schools Facilities:
- Only participants (players, coaches, Novi Cats administrators) are permitted in Novi School facilities and must wear a mask
entering and leaving the facility.
- Participants will have their temperature checked and will use hand sanitizer before proceeding to the gym.
- Participants will meet parents in the parking lot at the completion of activities.

Participation in Activities:
- Participants are required to wear masks if they are able.
- Coaches will wear masks during activities.
- Participants and coaches should social distance to the extent possible.
- Novi Cats will attempt to limit the sharing of basketballs where possible; players may bring their own ball if they choose
[please ensure it has your name and phone # on it].
- Basketballs and other equipment provided by Novi Cats will be cleaned / sanitized by coaches at the conclusion of each day.
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