HVVC COVID-19 Screening tool
Players, coaches and spectators must fill out this form prior to entering the HVVC facility.
Email address *
Athlete, Coach or Parent? I am a: *
What team are you with? *
First and last name *
Best phone # (required for contact tracing) *
What is your temperature today (preferably taken at home): *
Check any of the symptoms below that you've experienced in the past 24 hours. Note: If you checked any of these symptoms, you may not enter the HVVC facility. *
1 point
Required
In the past 24 hours, have you experienced any of the symptoms below that are new or not common to you? NOTE: If you checked any TWO of the symptoms, you may not enter an HVVC facility. Players should contact their coach immediately. *
1 point
Required
In the past 14 days, have you been in close contact with anyone who tested positive for COVID-19? (Close contact = Less than 6 feet for more than 15 minutes over the course of 24 hours, with or without a mask on). If "Yes", you may not enter the HVVC facility. Players should contact their coach immediately. *
1 point
I certify and confirm that the answers I have provided in this form are complete, truthful and accurate. *
After submitting, check your email for a confirmation certificate to present for admission into HVVC- IF you have screened as "healthy to participate".
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