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Cobb Atlanta COVID-19 Exposure Reporting
Please DO NOT use this form if you have tested positive for COVID-19, only if you have been exposed to COVID-19 outside of CAJ.
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* Indicates required question
Player Name
*
Your answer
Parent Name
*
Your answer
Best Email Contact
*
Your answer
Team Name
*
Your answer
Date of Exposure
*
This is the date you were last with the person that has tested positive for COVID-19. This date can be up to 48 hours before the person's symptoms started or the date they received a positive test if they have no symptoms.
MM
/
DD
/
YYYY
Do you know where you were exposed?
*
School
Family
Friend
Other:
Were you involved with a Cobb Atlanta program after your exposure? If yes, when/where/what?
*
Your answer
Is the person you are exposed to quarantining in the same household at the player/coach?
Yes
No
Clear selection
Do you have a family member participating in a Cobb Atlanta program?
*
Your answer
Are you involved with any other CAJ programs other than the team listed above? (SELECT, NEXT, Etc)
*
Your answer
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