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COVID-19 Player form

We are committed to practicing in the safest manner possible at all times. It is our promise to you that we continue to follow all infection control and safety guidelines set forth by the Department of Health, CDC, and the State of Rhode Island. Our staff are symptom free, and to the best of their knowledge have not been exposed to the virus. However, since we are a place of public accommodation, other persons (including other players) could be infected, with or without their knowledge. We are taking every possible measure to prevent against individuals unknowingly subjecting fellow players to COVID-19 by asking the following screening questions and taking temperatures on all players and staff. Despite taking all of these precautions, we are unable to make any guarantees. If you should develop any signs or symptoms of COVID-19 or test positive for COVID-19 within the 14 day period of your last interaction with us, please contact the Backstop to make us aware.

A weak or compromised immune system (including, but not limited to, conditions like diabetes, asthma, COPD, cancer treatment, and other medical conditions) can put you at a greater risk for contracting COVID-19. It is your decision if you would like to partake today or come at a later date.

Pandemic Disclosure and Informed Consent
By submitting this form, I confirm that I am submitting this information on behalf of myself (players 18+) or as a legal guardian of the player indicated below.
1.) Do you have a fever, sore throat, dry cough, runny nose, reduction in taste/smell, or shortness of breath or difficulty breathing?
3.) Have you traveled outside of the country in the last 14 days?
4.) Have you been in contact with someone who has tested positive for COVID-19 in the last 14 days?
5.) Do you have any other flu-like symptoms, such as gastrointestinal upset, headache, muscle aches, or fatigue?
6.) Have you traveled outside of the state in the last 14 days for reasons other than work, doctors appointments, or schooling?
7.) Have you had any of the previously mentioned symptoms in the last 14 days?
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