GFLL Umpire Check-In and Health Check
We need each umpire to complete this form prior to arriving at a game they are working. This will serve as their record of attendance for payroll purposes, as well as adherence to the GFLL COVID-19 protocols. If you answer "Yes" to any of the questions below, please do not attend the game. Instead, call Dan Ryan (703-867-7934), right away so that we can identify a back-up umpire, or better yet, perhaps you can work on helping her find a replacement as well.
By hitting submit, you are certifying that the information contained within this form is true and accurate.
Umpire First Name
Umpire Last Name
Date of game
Have you experienced a fever of 100.4˚F or greater in the past 10 days?
Have you received a positive result from a COVID-19 test within the past 14 days?
Have you been in contact with anyone while they had COVID-19 or symptoms of COVID-19 in the past 14 days?
Have you experienced any of the following symptoms within the past 14 days?
Shortness of breath
None of the above
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