This form must be completed within 8 hours prior to the start of any Warrington Soccer event i.e. practice, rec training, scrimmage, or game. One submission must be completed for each child. This submission is also serving as record of your attendance at the event (the date and time will be recorded when you hit submit).
If you answer YES to any of the questions, DO NOT ATTEND the event and please email the details to
Parent / Guardian Full Name
Please enter your full name
Player Full Name
Enter the player's full name.
Best Contact Email Address
Please provide an email address that is regularly monitored should we have any questions.
Select Your Event Location
IPW - Upper Nike Park
Experience a fever of 100.4˚F or greater in the past 10 days?
Received a positive result from a COVID-19 test within the past 14 days?
Been in contact with anyone while they had COVID-19 or symptoms of COVID-19 in the past 14 days?
Experienced any of the following symptoms within the past 14 days? Check all that apply.
Shortness of Breath
None of the above
In the past 14 days, have you, or someone you have been in contact with, traveled outside your state/province/country or to an area with restrictions due to COVID-19?
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This form was created inside of Warrington Soccer Club.