COVID-19 SCREENING ATTESTATION

Screening Questions
Your access pass will be sent to this email.
Have you signed the Waiver? *
Please submit this form. You will receive an email to complete the Waiver signature online. Once completed fill out this form again to receive your pass.

All Participants must complete this health screening questionnaire, a policy recommended by the CDC and the New York State and the Return to Play Protocols.

  1. Have you had any signs or symptoms of a fever in the past 24 hours or had a temperature that is elevated for you / 100.0F or greater?
  1. Do you currently have any of the following symptoms: fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headaches, loss of taste or smell, sore, congestion or runny nose, nausea or vomiting, diarrhea?
  1. In the last 14 days, have you knowingly been in close contact with anyone who has tested positive for COVID-19 through a diagnostic test?
  1. Are you or anyone in your home awaiting test results for COVID- 19?
Answer *
If you answered “Yes” to any of the questions above, you are not permitted to enter the Dome.
  1. In the last 3 days, if you spent more than 24 hours in a state other than NY, PA, NJ, CT, MA or VT, did you follow all NYS regulations regarding re-entry, including (a) testing negative prior to returning to NY (b) quarantining for 3 days and retesting negative for COVID -19 on the 4th day?
Travel *
If you answered "NO" to this question, you are not permitted to enter the Dome.
We expect all participants and employees to refrain from coming to the Dome if they are symptomatic (e.g. Fever greater than 100.0 F, chills, sore throat, cough, loss of taste or smell, diarrhea, vomiting, shortness of breath) and to immediately leave if you develop any such symptoms while at the Dome.

  • All individuals will have their temperature taken and will be expected to maintain appropriate social distance.
  • Participants are expected to notify Ophir Field LLC immediately if they come into contact with anyone who becomes symptomatic or is diagnosed with COVID - 19.
  • Ophir policies and practices are subject to change with regard to minimizing the risk of the virus being contracted by our participants. There is no guarantee that the Dome will be free from the virus.
  • On behalf of my child - I have read and Understand all the statements and acknowledgments and I agree to follow at all times Ophir policies and Procedures.
    I have read and Understand all the statements and acknowledgments and I agree to follow at all times Ophir policies and Procedures. *
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