Castleford Soccer COVID Screening Form
This form is for game officials, coaches, players and all spectators who will be coming to the Byram Hills Central School District campus. This is required before reporting to our campus for athletic events. Please complete it before arriving on campus on the day of your event. This form must be completed no later than one hour prior to the start of the game.
Which team is hosting?
Ravens - U14 Girls
Mayhem - U13 Boys
Dragons - U14 Boys
Gold Eagles - Varsity Girls
Blue Rush - Varsity Boys
Titans - U14 Boys
BHHS Lower Grass Field
BHHS Turf Field
HCC Lumber Field
In the past 14 days, have you had close contact with an individual diagnosed with COVID-19?
In the past 10 days, have you traveled to any state other than the "5 Contiguous States" (New Jersey, Connecticut, Massachusetts, Pennsylvania, Vermont)? More information can be found on the NYS site:
In the past 24 hours, have you experienced any new or worsening COVID-19 related symptoms below?
Yes: fever of 100° F or greater (taken this morning)
Yes: new or worsening cough
Yes: shortness of breath
Yes: sore throat
Yes: new loss of smell or taste
Yes: gastrointestinal issues (nausea, vomiting and/or diarrhea)
Yes: muscle aches
DO NOT ATTEND IF YOU HAVE SYMPTOMS
If you have answered Yes to any of the questions above, do not attend.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service