COVID-19 Screening Form
Answer these questions for each player you for whom you are responsible. Please note that this form must be completed for each participant or volunteer who has tested positive for COVID, been quarantined by another entity due to COVID exposure or has been in recent contact with someone who has not tested positive.

Coaches will receive an email stating that the participant is not allowed to practice until the Safety Director clears them for participation.
Sign in to Google to save your progress. Learn more
Email *
Player/Volunteer Name *
Your Name
If different then participant name
Are you the player's parent/guardian?
Clear selection
Team *
Required
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of AYSO Region 322. Report Abuse