RBA COVID-19 Monitoring Form - ROCKFORD BASEBALL ACADEMY

ROCKFORD BASEBALL ACADEMY

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COVID-19 Monitoring Form

COVID-19 Monitoring Form

* Indicates required field

Name *

First

Last

Email *

Today's Date *

Time *

Enter Team Name (if not on a team, type "n/a") *

If not on a team, type non-team member.

Fever? *

Yes No

Cough? *

Yes No

Sore Throat? *

Yes No

Shortness of Breath? *

Yes No

Close contact or cared for someone with COVID-19? *

Yes No

Submit

Rockford Baseball Academy

Monday through Thursday 4pm – 9pm and Saturday 9am – 11:30 am

10451 Northland Dr NE
Rockford, MI 49341

616-884-5530

rockfordbaseballacademy@YAHOO.COM

Home
About RBA
Training/Lessons
HitTrax Leagues
Travel Teams
Sponsors