GC Soccer - Participant Positive COVID-19 Report
If a coach, player or referee participant tests positive for COVID-19 within 10 days of any game at Gulf Coast Youth Soccer Complex, you are required to contact the team and complex where the game, scrimmage or practice was played. If you played a game at GC Soccer Complex or played a team from Gulf Coast Youth Soccer Club, please email this form to COVID-RTP@gcysc.com so we can contact the other participants that may have been exposed. Thank you, Gulf Coast Soccer
Full Name of person filling out this form * *
Phone Number of person filling out this form * *
Full Name of participant that tested positive* *
Team name of participant that tested positive* *
Is it possible that a player, coach or referee attended or participated in a game while positive or after potential exposure?
Clear selection
What date did you receive notification from a player or person saying they believe their son or daughter, coach, or referee participated in a game while positive with Covid-19. *
MM
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DD
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Game Number or Numbers of the game you suspect they were positive and played (see schedule). If game number is not known, list the team name, club and coach and date of the game. *
Who is/was sick, a player, coach, referee or family member? *
Required
Did the player / family member / coach test positive or have symptoms?( give detail) * *
Please provide any other relevant information. *
Who should be contacted for additional information? Please provide name, cell phone and email address *
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