Action Athletics COVID-19 Release & Health Evaluation
In accordance with the Centers for Disease Control (CDC) and to prevent the spread of COVID-19, Action Athletics is screening all participants for certain risk factors before entrance is allowed. If the form cannot be completed, please email us at info@action-athetlics.com. The form must be completed no more than 48 hours before your participation date. If any information changes after submitting this form, please email us to let us know.
Participant's First Name *
Participant's Last Name *
Participation Date (not birthday) *
MM
/
DD
/
YYYY
COVID WAIVER ADDENDUM *
Required
COVID HEALTH EVALUATION - SYMPTOMS *
In the past 14 days, participant has NOT experienced:
Required
COIVD HEALTH EVALUATION - OTHER *
Required
Parent or Guardian Signature *
Please type your name as your signature agreeing that the above information is accurate. If anything changes after filling out this form, please email or call us.
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