COVID-19 Health Screening AssessmentThis assessment must be completed each week before arriving at the Fall Ball Facility. You will be asked to present the confirmation email you receive. COVID-19 Health Screening Assessment You will be required to fill out this form each week before participating. When you arrive at the facility, you will need to present your confirmation email at check-in. COVID-19 Health Screening AssessmentExperienced COVID-19 Symptoms in the past 14 Days?*YesNoPositive COVID-19 Test in the past 14 days?*YesNoClose contact with confirmed or suspected COVID-19 case in past 14 days?*YesNoHave you traveled out of the area in the last 14 days?*YesNoIs your temperature symptomatic (100.4º F or higher?)*YesNoPlayer Name* First Last Phone*Parent Email* Today's Date* Date Format: MM slash DD slash YYYY Choose Your Session*9/20/20209/27/202010/4/202010/11/202010/18/202010/25/202011/1/202011/8/2020You must fill out this form each week.Parent Name* First Last Your name constitutes your electronic signature. By signing, you are affirming this mandatory health screening assessment and have reviewed & acknowledged the Healthy & Safety Guidelines, and agree to the following guidlines.