Pre-Training Screening Questionnaire

questionnaire

BRYC Elite Academy

PRE-TRAINING SCREENING QUESTIONNAIRE

(CLICK HERE TO DOWNLOAD FORM IN PDF)

 

Every player, coach, and COVID Ambassadors must answer honestly the following pre-training questions before every team function and submit the signed form to the appropriate COVID Ambassador.
 

  1. Have you had any close contact with a sick individual or anyone with a confirmed case of COVID-19?

YES _____         NO _____

  1. Have you had a documented case of COVID-19 in the last 14 days?

YES _____         NO _____                 

  1. Are you currently demonstrating or suffering from any ill symptoms?

YES _____         NO _____                 

 

BRYC Elite Academy will be required to prohibit any player, coach, or COVID Ambassador from entering the training ground if their temperature is 100.4 or higher OR answered YES to the questions listed above.

                                                                                                                                                                                                      

Player Name                                                                                                                       Date

                                                                                                                                                                                                        

Signature Parent or Legal Guardian (if player is under 18)                                   Printed Name of Parent or Legal Guardian

 

Do not complete this form online.  Click HERE to download PDF.  Forms must be completed by hand and turned in prior to EVERY BRYC Elite Academy event!!