Health Screening

Health Screening

Bandits Lacrosse Club is committed to the safety of coaches, participants, and the community, including during the COVID-19 pandemic. Participants will be required to self-assess using these questions each day prior to coming to practice. If the answer is “yes” to any question, please do not come to practice to help prevent the spread of illness. In addition, participants will also be required to abide by the Bandits Lacrosse Club’s rules on social distancing, hand washing, and face covering during the time they are at their practice.

  • Are you experiencing any symptoms related to COVID-19, i.e. fever, cough, sore throat, shortness of breath, chills, muscle pain, new or unusual headache, new loss of taste or smell, fatigue, congestion or runny nose, nausea or vomiting, or diarrhea?
    • O  Yes
    • O  No
  • Have you been in close contact * with someone who has been diagnosed with COVID-19 in the last 14 days?
    • O  Yes
    • O  No

* Close contact includes household contacts, intimate contacts, or contacts within 6 feet for 15 minutes or longer.

  • Is anyone in your household suspected of having COVID-19 (e.g., has symptoms and is seeking diagnosis, has been sent for testing, etc.)?
  • O  Yes
    • O  No
  • Have you tested positive for COVID-19 in the last 14 days?
    • O  Yes
    • O  No
  • Consent

O   By checking this box I accept the terms below.

By coming to the practice you acknowledge that you have in fact conducted this self-assessment and the information provided above is true and accurate to the best of your current knowledge and beliefs. You also agree to abide by the Bandits Lacrosse Club’s rules on social distancing, hand washing, and face covering during the time spent in their facility.

 

 

 

Health Screening