Real JFC C19 Screening Assessment **COMPLETE THIS ON THE DAY OF THE MATCH/TRAINING

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Real JFC C19 Screening Assessment **COMPLETE THIS ON THE DAY OF THE MATCH/TRAINING - NO SOONER**

ALL Coaches/Players/Staff must complete this assessment no SOONER than the day of the match or training

Full Name of Player or Staff *

Enter the FIRST AND LAST NAME of player/staff who will be participating/attending in today's game/training/event

What is your role with the club/academy? *

Player

Staff

Best Contact Phone Number *

Enter the best phone number including area code that you can be reached if needed for contact tracing purposes

Email Address *

Use parent/guardian's email address for players

Club/Academy Name *

List your current club. If not listed, select OTHER at the bottom of the list.

Birth Year of Team *

Birth year of team you play for, coach for, or are spectating. If you play/coach multiple, just choose one

Gender *

Boys

Girls

Clear form

Never submit passwords through Google Forms.

This form was created inside of Real JFC. Report Abuse