Golden Touch - Screening
Submitting this form constitutes a legally binding signature in observance of the terms and conditions laid out in this form.

The undersigned acknowledges the contagious nature of the Coronavirus/COVID-19 and that public health authorities have recommended abiding by certain precautions, including social distancing. The undersigned further acknowledges that Golden Touch Soccer has put in place preventative measures to reduce the exposure to and spread of the Coronavirus/COVID-19 through the adoption of the Golden Touch Soccer COVID Health & Safety Plan.

By executing this instrument, the undersigned acknowledges that he/she has read the Golden Touch Soccer COVID Health & Safety Plan and agrees to abide by the provisions of the plan and consents to the use and disclosure of medical testing and information obtained as required in the plan.

The Golden Touch Soccer cannot guarantee that the student athletes, coaches, and staff members will not become infected with the Coronavirus/COVID-19 and the undersigned understands that the risk of exposure to or infection from the Coronavirus/COVID-19 may occur despite the precautions taken pursuant to the plan. For these reasons, the undersigned, as a condition of participation in Golden Touch Soccer programs, hereby releases and agrees to hold harmless Golden Touch Soccer and its officers, members and staff from, and hereby waives, any and all causes of action, claims, damages, costs, and expenses arising from Coronavirus/COVID-19 exposure or infection in connection with participation inGolden Touch Soccer programs.
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Temperature Taken within 2 hours before practice *
Is your temperature that you entered in over 100.3 degrees?
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Have you been experiencing any coughing? *
Have you been experiencing a sore throat? *
Have you been experiencing a shortness of breath? *
Have you had close contact within past 14 days with anyone who tested positive for Covid-19? *
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