Daily Screening Checklist
This checklist may be updated as the situation progresses over the next week's can months.

This form must be completed prior to any individual entering the facility.

Screening must be submitted each day that an individual is accessing the facility.

Screening applies to all Club Staff, all Participants, any Parents/Guardians, or members of the general public who are entering the facility.

Parents/guardians must complete the form on behalf of their child participants.
Enter Your Group Name *
Participant First and Last Name *
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