LVSC COVID-19 Health Screening
This is a Daily Screening for Lenape Valley Soccer Club Players.
If you are from another club, please complete our Visiting Team form instead, at
Please type child’s first and last name
What Team does your child play on?
Lenape Valley Patriots (2007 Boys U14)
Lenape Valley Patriots Warriors (2008 Boys U13)
Lenape Valley Patriots Elite (2009 Boys U12)
Lenape Valley Patriots Renegades (2010 Boys U11)
Lenape Valley Lakers (2007 Girls EDP)
Lenape Valley Daredevils (2010 Girls U11)
Lenape Valley Lady Patriots (2012 Girls U9)
Lenape Valley Grassroots Mighty Tigers (2013 Boys U8)
Lenape Valley Grassroots Mighty Jaguars (2013 Girls U8)
Please Enter today's date.
Was the player's temperature over 100.4 degrees Fahrenheit today?
Has the player tested positive for COVID-19 within the last 14 days?
Does the player have any of the following symptoms; Fever or Chills, Cough, Shortness of Breath or Difficulty Breathing, Fatigue, Atypical Muscle Pain or Body Aches, Headache, New Loss of Taste or Smell, Sore Throat, Congestion or Runny Nose, Nausea or Vomiting, and/or Diarrhea?
Within the past 14 days, has the player traveled outside of the United States OR visited any of the states on the New Jersey Travel Advisory List (
Within the last 14 days, has anyone in the player's household been exposed to, or come into contact with, anyone you know: (a) who has COVID-19, (b) who is/was being tested for COVID-19, (c) who had symptoms consistent with COVID-19, or (d) who was exposed to someone with COVID-19?
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