2021 Covid-19 Daily Questionnaire #CBBALLERSNY
This form is required on the day of any affiliated Chadwick Bay Ballers activities.
Email address *
Have you knowingly been in close or proximate contact in the past 14 days with anyone who has tested positive for COVID-19 or who has or had symptoms of COVID-19? *
Have you tested positive for COVID-19 in the past 14 days; and/or has experienced any symptoms of COVID-19 in the past 14 days? *
Person Submitting Form Name & Phone # *
Player or Coach name for this form. *
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