Junior Deputy Baseball Park - Park Entry Form (Fall 2020)
First and Last Name of Person Completing Form *
Email Address *
Telephone Number *
First and Last Name of Each Person in Vehicle Being Screened *
Team(s) *
Has anyone in your vehicle had a fever of 100.4 degrees or greater in the last 2 days? (If you answer yes, then the people in your vehicle will not be permitted entry to the park.) *
Has anyone in your vehicle had a cough, difficulty breathing, chills, muscle aches (myalgias), sore throat, headache, recent loss of taste or smell, nausea, vomiting, or diarrhea? (If you answer yes, then the people in your vehicle will not be permitted entry to the park.) *
Has anyone in your vehicle had contact with a person known to be infected with COVID-19 in the past 14 days? (If you answer yes, then the people in your vehicle will not be permitted entry to the park.) *
Has anyone in your vehicle had a positive COVID-19 test in the last 10 days? (If you answer yes, then the people in your vehicle will not be permitted entry to the park.) *
Is anyone in your vehicle waiting on the results of a test for COVID-19? (If you answer yes, then the people in your vehicle will not be permitted entry to the park.) *
Please enter the temperature reading for each person in your vehicle as read by Junior Deputy staff. (If anyone in your vehicle has a temperature of greater than 100.4 degrees, then the people in your vehicle will not be permitted entry to the park.) *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy