Covid-19 Screening

COVID-19 Screening

To ensure the safety of our fans, please fill out the COVID-19 Screening below and show your results to the gate attendant while they scan your ticket. This questionnaire is NOT intended to take the place of medical advice, diagnosis, or treatment.

Name*
First Last
Phone*
Email*
Game Date & Time*
Are you filling this form out on behalf of someone else?
If so, please list their name(s) below. Anyone in your party with a ticket that is not filling out the form for themselves must be listed.
Have you experienced any of the following symptoms within the past 48 hours?*
Fever (of at least 100.4 degrees F), chills, cough, shortness of breath, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea.
- Yes
- No
Are you isolating or quarantining becuase you may have been exposed to a person with COVID-19 or are worried that you may be sick with COVID-19?*
- Yes
- No
In the last 14 days, have you been in close physical contact with any one who is known to have laboratory-confirmed COVID-19 or has any symptoms consistent with COVID-19?*
- Yes
- No
Are you currently waiting on the results of a COVID-19 test?*
- Yes
- No
Please certify your submission*
I certify that my responses are true and correct.
Email
This field is for validation purposes and should be left unchanged.