COVID-19 Sporting Event - Game Day Sign-In

This form is for spectators, game workers, and officials attending athletic events at JWCC. It is built from guidance delivered to us from the MWAC, NJCAA and IDPH.

Date Date * / MM / DD YYYY
Name Name * First Last
Are you a spectator, game day staff, or official? *

Are you a spectator, game day staff, or official? Spectator Game Day Staff Official
If a spectator, who's guest are you? *
Athletic Activity *
Answer yes/no to having any of the following:
Diagnosed with COVID-19 in past 14 days *

Diagnosed with COVID-19 in past 14 days Yes No
Fever | Cough | Chills | Muscle Aches *

Fever | Cough | Chills | Muscle Aches Yes No
Sore Throat | Runny Nose | Loss of Smell / Taste *

Sore Throat | Runny Nose | Loss of Smell / Taste Yes No
Shortness of Breath | Headache *

Shortness of Breath | Headache Yes No
Close contact to someone with COVID-19 in past 14 days *

Close contact to someone with COVID-19 in past 14 days Yes No

COVID-19 Sporting Event - Game Day Sign-In

COVID-19 Sporting Event - Game Day Sign-In

Answer yes/no to having any of the following: