Match Fit COVID Response Form
Mercer County Boys/Girls & Montclair Boys North

This form should be completed by any Match Fit Academy player that is symptomatic, a close contact to a person with COVID-19 or tests positive themselves.

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.
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Email *
Player Name *
Best Email to communicate with family ? *
Why are you completing form? *
Please provide any more details that are important. For example if you tested positive do you have symptoms? * *
What was the date of close contact, start of symptoms/sickness or positive test? *
MM
/
DD
/
YYYY
Are you fully vaccinated? *
Are you boosted? *
Have you recovered from COVID-19 in the last 90-days? * *
Team *
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