Covid-19 Screening: Summer Skillz Clinics
Prior to coming to the first day of Summer Skillz, participants must complete the following health assessment form to ensure the participant is in good health and capable of engaging in our clinics. All players must also agree to contact Skillz Check directly at support@skillzcheck.com immediately if the information below changes for your player at anytime during the clinic period.

This form must be completed PRIOR to coming to our clinic. Any participant who hasn't completed the online form by Monday morning will be unable to participate in the clinic.
Sender Name *
Player Name *
Sender Email *
Sender Alternate Email *
Fever above 100.4F? *
Required
Chills or sweating? *
Required
New or worsening cough? *
Required
Sore throat? *
Required
Shortness of breath or difficulty breathing? *
Required
Persistent pain or pressure in the chest? *
Required
Aching throughout the body? *
Required
Headache? *
Required
New loss of taste/smell? *
Required
Vomiting or diarrhea? *
Required
Other lower respiratory symptoms? *
Required
Have been in close contact with anyone confirmed to have Coronavirus (COVID-19) in the past 14 days? *
Required
If yes, identify:
Is Skillz Check staff allowed to provide your child with hand sanitizer, if needed? *
I confirm that the information given in this form is true, complete and accurate. I agree to contact Skillz Check directly and immediately if the information above changes for my player at anytime during the clinic period. *
Required
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