COVID-19 Response Form
This form should be completed by any Match Fit Academy player that is unable to pass the TeamSnap Health Check.

Upon receipt of this form, Match Fit Academy will review and provide a return to play date. All decisions on return to play date are made based upon CDC, State of NJ, NJ Youth Soccer and local health department recommendations and guidance.
Player Name *
Player Team *
Best Email to communicate with family *
What is the issue? *
Please provide more details (include dates, type of contact/symptoms, where you travelled etc...) *
What was the date of exposure, start of symptoms/sickness or return to NJ *
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DD
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Do you plan on taking a PcR test? *
If you took a PcR test and it was negative, please give the date the negative test was administered.
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/
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