UTM Affiliate Attendance & Health Check
This form should be used by coaches/affiliate leaders running a team practice, exhibition game or any other softball activity organized by the team.
Please indicate today's date *
MM
/
DD
/
YYYY
Please Select your team: *
Required
Type of Event *
Required
Participant 1
Enter Participant First & Last Name. You also need to provide a contact phone number. You must list all participants
Participant 2
Enter Participant First & Last Name. You also need to provide a contact phone number. You must list all participants
Participant 3
Enter Participant First & Last Name. You also need to provide a contact phone number. You must list all participants
Participant 4
Enter Participant First & Last Name. You also need to provide a contact phone number. You must list all participants
Participant 5
Enter Participant First & Last Name. You also need to provide a contact phone number. You must list all participants
Participant 6
Enter Participant First & Last Name. You also need to provide a contact phone number. You must list all participants
Participant 7
Enter Participant First & Last Name. You also need to provide a contact phone number. You must list all participants
Participant 8
Enter Participant First & Last Name. You also need to provide a contact phone number. You must list all participants
Participant 9
Enter Participant First & Last Name. You also need to provide a contact phone number. You must list all participants
Participant 10
Enter Participant First & Last Name. You also need to provide a contact phone number. You must list all participants
Participant 11
Enter Participant First & Last Name. You also need to provide a contact phone number. You must list all participants
Participant 12
Enter Participant First & Last Name. You also need to provide a contact phone number. You must list all participants
Participant 13
Enter Participant First & Last Name. You also need to provide a contact phone number. You must list all participants
Participant 14
Enter Participant First & Last Name. You also need to provide a contact phone number. You must list all participants
Participant 15
Enter Participant First & Last Name. You also need to provide a contact phone number. You must list all participants
Participant 16
Enter Participant First & Last Name. You also need to provide a contact phone number. You must list all participants
Participant 17
Enter Participant First & Last Name. You also need to provide a contact phone number. You must list all participants
Were all athletes temperature screens completed? *
Required
Were there any issues noted? *
Required
Describe issues and resolution
Form Submitted By *
Please indicate who completed the health screening
Signature Acknowledgement *
Please check the box below, to confirm you are aware that your signature above is considered binding.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy