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.
Email *
Which team is hosting? *
Field Name
Date Attending *
MM
/
DD
/
YYYY
Last Name *
First Name *
Team Name *
Player Name *
Close Contact *
In the past 14 days, have you had close contact with an individual diagnosed with COVID-19?
Travel Advisory *
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: https://coronavirus.health.ny.gov/covid-19-travel-advisory
Symptoms *
In the past 24 hours, have you experienced any new or worsening COVID-19 related symptoms below?
Required
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.
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