Big Apple Soccer League Inc. - (New York, NY)

In an effort to reduce the risk of COVID-19 exposure, all Parents, Presidents of Clubs, Coaches, Players, members of BAYSL, and all visitors must complete the following screening questions before entering to ELMCOR:

* Date:

* First Name:

* Last Name:

* Phone Number:

* Team Name:

* Rol (Choose one):

* in the Last 2 weeks have you traveled outside of New York? or been in close contact with anyone who has traveled outside of New York the last 14 days?:

Yes

* Have you had close contact with or cared for someone diagnosed with COVID-19 within the last 14 days?:

Yes

* Have you experienced any cold or flu-like symptoms in the last 14 days (fever, cough, shortness of breath or other respiratory problem)?:

Yes

* Sign (Please enter Your name or the the person who fill this form):

* indicates required fields