COVID-19 Health Assessment (London Mens Baseball League (over 30 league))

Print COVID-19 Health Assessment
Must be Completed prior to every game by all players in attendance
Are you currently experiencing any one of the symptoms below that are new or worsening? Symptoms should not be chronic or related to other known causes or conditions.
Has a doctor, health care provider or public health unit told you that you should currently be isolating (staying at home)?
In the last 14 days have you…
  1. If you answer “NO” to all the questions, you have passed screening and can enter the facility.

    If you answer “YES” to any of the questions, please delay your visit and consider visiting your health care provider.

    The London Mens Baseball League is asking that you voluntarily disclose your name and phone number when you participate in a league sanctioned event. If there is a report of an active case of COVID-19 and that person was at the event while you were in attendance, you will be contacted to advise that you may have been exposed to COVID-19.
Player Information
  1. Example: ###-###-####
Human Validation
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Printed from on Friday, June 18, 2021 at 11:19 AM