VolleyHawks Covid Screening
The safety of our VolleyHawks Academy participants is our overriding priority. As the coronavirus (COVID-19) pandemic continues, we are monitoring the situation closely and following the guidance of the Center for Disease Control and Prevention (CDC), and local health authorities. In order to prevent the spread of coronavirus and reduce the potential risk of exposure to our participants, we are asking everyone to complete and submit this questionnaire prior to entering campus facilities. You will not be permitted to enter any UNCW facility until your responses have been submitted.
Name *
Parent(s) Name(s) *
Date of Participation
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YYYY
Please respond to the following questions truthfully and to the best of your ability. Your participation is important to help us take precautionary measures to protect you and all VolleyHawk Academy participants and coaches.
Are you currently experiencing, or have you experienced in the past 14 days, any of the following symptoms? *
Required
In the past 14 days have you been in close proximity to anyone experiencing any of the above symptoms? *
In the past 14 days have you been in close proximity to anyone who has tested positive for COVID-19? *
Have you been tested for COVID-19 and waiting to receive test results? *
In the past 14 days have you been on a commercial flight or traveled outside of North Carolina? *
I certify the responses above are true and accurate to the best of my knowledge. Please print your name. *
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