Hillcrest Softball League Covid-19 Questionnaire

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Please Complete this form each week in order to attend your game.

Name *

Phone Number *

Email Address (enter only if this is your first week playing)

Team you are playing for this week *

Have you: A) in the last 14 days had any Covid-19 symptoms which may include fever of 100.4 degrees Fahrenheit or greater, a new cough, new loss of taste/smell, shortness of breath or difficulty breathing, muscle/body aches, fatigue, sore throat, congestion or runny nose, nausea or vomiting, or diarrhea B) had a positive Covid-19 test in the past 14 days, measured from the test date(not date results received) C) had close contact (within 6 feet or less or less for 10 minutes or more) with with a confirmed or suspected Covid-19 case in the last 14 days D) Travelled out of the state (excluding NJ, CT, PA, MA, VT) or out of the country within the last 14 days *

Yes

By answering yes to any of the above, you acknowledge and understand that you may not play or be in attendance by any league game *

I understand

Submit

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