GLBR 2021 COVID SCREENING QUESTIONNAIRE
To be completed by all Players, Coaches, and Umpires before any league activities
Email address *
Participant *
Name of Player / Coach / Umpire / Volunteer for whom this form applies
Parent/Guardian
If Participant is a minor, provide name of person completing this form (parent/guardian)
Team *
Select the team to which this participant belongs (or select "League" if not associated with a team)
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