2021 BTSH COVID-19 Attestation Form
**Please complete this form within 24 hours of your scheduled BTSH game**

Due to the outbreak of COVID-19, BTSH is taking extra precautions with the care of every client to include health history review and enhanced sanitation/disinfection procedures in accordance with the guidance of New York state. 

Symptoms of COVID-19 include:

Fever or chills
Cough
Shortness of breath or difficulty breathing
Fatigue
Muscle or body aches
Headache
New loss of taste or smell
Sore throat
Congestion or runny nose
Nausea or vomiting
Diarrhea

By submitting this form, I agree to each statement below and release BTSH from any and all liability for the unintentional exposure or harm due to COVID-19.

Email *
Name *
Team *
Free Agents Only - What team are you subbing for?
Game Date *
Please complete this form within 24 hours of your scheduled BTSH game *
Required
A copy of your responses will be emailed to the address you provided.
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