COVID-19 Exposure Report Form
We want to keep all players, parents, staff, and officials safe.
If you or a close relative is diagnosed with Covid-19 or if you are exposed to someone who has please submit this form to notify TVSC.
You are not required to share this information but doing so will help us to minimize the potential spread and/or notify those who might have been exposed.
The information here will be kept strictly confidential and we will only use for the purposes of:
-notify those who might have been exposed (without sharing specific information)
-cancel or re-schedule activities
-additional cleaning and safety procedures
Nature of Report
Confirmed COVID-19 Case
Potential COVID-19 Case
Notification of Self Quarantine
Notification of Medical Quarantine
First Letter of Last Name
Coaches' names (if known)
Program/Team Name/Age Group
Date of last attended training/game/activity
Date diagnosed or exposed to Covid-19
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