Zionsville Youth Football League
ZYFL Check-In Form
* Required
First name of individual coaching or participating in ZYFL event or watching ZYFL event
*
Your answer
Last Name
*
Your answer
Grade
*
Your answer
Which activity?
*
Football
Cheer
Required
Have you had any signs or symptoms of a fever in the past 24 hours such as chills, sweats, felt feverish or had a temperature that is 100.4 or greater?
*
Yes
No
Do you have any of the following symptoms (not otherwise explained)? Fever, cough, shortness of breath, difficulty breathing, chills, repeated shaking with chills, muscle pain, headache, sore throat, new loss of taste or smell?
*
Yes
No
Have you been (within 6 feet for 15 minutes or longer) in contact with a person who has tested positive for Covid-19 within the last 14 days?
*
Yes
No
If you have answered “Yes” to any of the above questions, do not attend the ZYFL event. Thank you.
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