Weekly Contact Tracing Form

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Today's Date *

YYYY

What time did you arrive today? *

Time

Child's Name

Spectator Name #1 *

Spectator Name #2

Email *

Address *

Phone number *

Are you or your child experiencing any symptoms today such as fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, and/or diarrhea? *

Yes

Required

There are no more than 2 spectators per child will be allowed. *

Yes, I am aware and will comply.

Required

I will sanitize my hands after completion of this form. *

Yes, I am aware and will comply.

Required

I am aware of the rules and that if I do not follow the social distancing and mask requirements, my child and I will be removed from the field and not allowed to participate any more. *

Yes, I am aware and will comply.

Required

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