Health Screen for Serve City
Practices and Tournaments

Please fill out the short survey below and submit it prior to the start of your child’s practices and tournaments each week. Thanks!

Athlete's Name

First Name

Last Name

Parent Name

First Name

Last Name

Name of SCV Event Attending

Email

Phone

(###)

###

####

Is your child exhibiting the current CDC-recognized symptoms consistent with COVID-19?

My child's temperature today is:

Health Screen for Serve CityPractices and Tournaments