Timestamp must reflect the day you visit the Club.
Date/Time Stamp:
3/3/2021 9:04:00 AM

(for guests visiting the Club, please enter name of sponsoring Member )

If you agree to each of the checkmarked boxes below, please click on the submit button at the bottom.

I have not been exposed to anyone with, or had, symptoms of COVID-19 in the past 14 days.

Neither I, or anyone I am exposed to (family, friends etc.), has been diagnosed with, or is suspected of having the COVID-19 virus.
I do not have symptoms including fever, cough, chest congestion, sinus congestion, shortness of breath, loss of smell/taste.

No one in my household currently has symptoms including fever, cough, chest congestion, sinus congestion, or shortness of breath.

I will not ride in a golf car with anyone who is not part of my immediate family.

I will practice appropriate social distancing of 6-10 feet from all persons while on property at the Club. This includes the Starter Podium, Locker Rooms, Outdoor Bar, VCC Breezeway and Virginia House.

I will wear a mask/face covering at all times when not hitting balls, playing golf or eating/drinking. This includes all indoor and outdoor areas of the Club. The VCC staff will be wearing PPE at all times.
I will practice safe hygiene by washing hands frequently and using hand sanitizer regularly.
If I feel any symptoms referenced above or other potential illness, I will immediately leave the Club.
I will contact VCC Management to alert them to subsequent learning of exposure that may affect members or staff at VCC.