Daily Check-In Form Daily Check-In Form 2021 Name (First & Last) * I am here for... * Welcome Spring Clinic 12u/13u/14u STP 15u/16u/17u/18u STP Int/Adv Clinic PeeWee Passers PeeWee Partners Father's Day Clinic Mother's Day Clinic I am a... * Player Coach Parent/Guardian/Sibling/Relative Visitor OtherOther All participants and coaches must have a B2 Courts Waiver and Release of Liability on file. Please confirm * I confirm there is a Waiver and Release of Liability on file for myself/my participant https://b2courts.com/participant-waiver/ Are you experiencing one or more of these symptoms: Severe, constant chest pain or pressure | Extreme difficulty breathing | Severe, constant lightheadedness | Serious disorientation or unresponsiveness * Yes No Are you diagnosed with or has your healthcare provider told you it is likely you have COVID-19? * Yes No Are you experiencing one or more of these symptoms that can’t be explained by another condition (like seasonal allergies or asthma): Fever or chills (Fever is 100.4F (or 38.0C) or more) | Mild or moderate difficulty breathing | New or worsening cough | New loss of smell, taste, or appetite | Sore throat | Vomiting or diarrhea | Unexplained muscle aches | Feeling unusually weak or fatigued Yes No In the last 14 days, what is your exposure to others who are known to have or have symptoms of COVID-19? Yes No By checking the box below, you are confirming you have read and understand B2 Courts COVID-19 Policies & Procedures and will abide by them. I have read and understand B2 Courts COVID-19 Policies & Procedures https://b2courts.com/covid-19-response/ Submit Δ Share this:TweetLike this:Like Loading...