COVID-19 Health Assessment (London Mens Baseball League (over 30 league))
Team Finder
Contact
Search
Login
Contact
Search
League GameChanger Link HERE!
Home
Team Finder
Organization Menu
Home
About Us
League Play - What to Expect
League Rules
History
Executive & Staff
Contact Us
Games Centre
Royal Field Rules
Insurance and Injury Claims
Organization Calendar
Approved Aluminum Bat List
Season and Playoff Format
Apply to be an LMBL Scorekeeper!
Scorekeepers Schedule
Registration
General Information
SPARE LIST REGISTRATION
Standings
Schedule & Results
Draft Eligible
Media
Media
LMBL Photos
LMBL Newsletter - Aug 1993
Home
COVID-19 Health Assessment
Sitemap
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.
Fever (37.80C or higher)
*
Yes
No
Chills
*
Yes
No
Cough or barking cough (croup)
*
Yes
No
Shortness of Breath
*
Yes
No
Sore Throat
*
Yes
No
Difficulty Swallowing
*
Yes
No
Decrease or loss of smell or taste
*
Yes
No
Pink Eye
*
Yes
No
Runny or stuffy/congested nose
*
Yes
No
Headache
*
Yes
No
Digestive issues like nausea/vomiting, diarrhea, stomach pain
*
Yes
No
Muscle aches
*
Yes
No
Extreme tiredness
*
Yes
No
Falling down often
*
Yes
No
Has a doctor, health care provider or public health unit told you that you should currently be isolating (staying at home)?
Response
*
Yes
No
In the last 14 days have you…
Been identified as a “close contact” of someone who currently has COVID-19?
*
Yes
No
Received a COVID Alert exposure notification on your cell phone? If you already went for a test and got a negative result, select “NO”.
*
Yes
No
Travelled outside of Canada? If you are exempted from federal quarantine as per group exemptions quarantine requirements under the Quarantine Act, select “NO”.
*
Yes
No
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.
I agree to the terms and conditions stated above
*
Player Information
Player Name
*
Team
*
Select One...
Aquarium Services
Athletics
Blue Jays
Brewers
Cubs
Dodgers
Expos
Marlins
Mets
Orioles
Pirates
Rays
Red Sox
Rockies
Tigers
Werewolves
Email Address
*
Example:
[email protected]
. Your submission will be sent to this address.
Human Validation Failed, Please Try Again