LBA COVID Questionnaire OUTDOOR(intro and rally cap)
Please fill this form out a minimum of 2 hours PRIOR to the scheduled practice or game.
Participants Name(first &last)
Intro to baseball
Date of session
Is the participant experiencing any of the following symptoms: fever, sore throat, shortness of breathe, runny nose, nausea, diarrhea, chills, painful swallowing, loss of taste or smell?
Has the participant travelled outside of Canada in the last 14 days?
Has the participant been in direct close contact with someone who is ill, being investigated, or a confirmed contact?
Parent/Guardian phone number
Parent/Guardian phone email
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