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 *
MM
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DD
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YYYY
Division Playing *
Umpire Position *
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? *
Required
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