UFA Covid-19 Form
For players who have Covid-19, have been exposed to Covid or suspect they have symptoms, please complete the following. Please complete this form for each player in your household, as needed.
What is your Covid-19 issue? *
If you have Covid-19, please quarantine for 10 days since symptoms appeared and 24 hours with no fever have passed. *
If you have Covid-19, provide the date symptoms first appeared or, if asymptomatic, date of positive test. Or indicate exposure only.
If you have symptoms and think you might have Covid-19, please quarantine for 10 days since symptoms appeared and 24 hours with no fever have passed. *
Provide the date you were last with any UFA team or coach for training, games or other activity. *
Have you been fully vaccinated *
Have you had, and recovered from, Covid-19 within the past 3 months? *
If you have been exposed to Covid-19, provide the details regarding your exposure. For example, exposed at school? Were you within 6 ft for at least 15 minutes? Were you wearing a mask? Any other pertinent details.
At which UFA branch do you play? *
Player Name *
Parent Email *
Parent Phone No *
Coach Name *
Team Name *
Submit
Never submit passwords through Google Forms.
This form was created inside of United Futbol Academy. Report Abuse