Woodlawn Little League Fall 2020 COVID-19 Screening Form
Pursuant to directives issued by the Governor of Virginia, this screening form must be filled out in total and submitted for all Woodlawn events (practices, workouts, games, etc) by all players and adults participating in the activities.
Email address *
Are you currently experiencing any of the following symptoms that cannot be attributed to another condition: *
Required
Have you been exposed to a COVID-19 case in the past 14-days? *
Participation in Woodlawn Little League ball play
If you checked that you were experiencing any of the symptoms or answered yes to being exposed to a COVID-19 case, DO NOT ATTEND TODAY'S ACTIVITIES and contact your team coach or COVID coach as soon as possible to alert them to your situation.
Today's Date *
MM
/
DD
/
YYYY
Player Name *
Coaches Last Name *
Name of Parent/Guardian *
Please provide a contact phone number *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy